Organization
FIRST CHOICE CHIROPRACTIC
Active
Other names
Jarred Colegrove
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARRED RYAN COLEGROVE D.C. (DOCTOR)
(770) 535-0550
Entity
Organization
Contact information
Practice address
1335 JUANITA AVE, GAINESVILLE, GA 30501-1725
(770) 535-0550
(770) 535-1007
Mailing address
1335 JUANITA AVE, GAINESVILLE, GA 30501-1725
(770) 535-0550
(770) 535-1007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007628
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11303748
CAQH
GA
01
—
202I358966
MEDICARE PTAN
GA
Enumeration date
08/04/2015
Last updated
08/04/2015
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