Individual
DR. MILAN MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3225 SHALLOWFORD RD STE 700, MARIETTA, GA 30062-7026
(770) 353-9339
Mailing address
3929 CYRUS CREST CIR NW, KENNESAW, GA 30152-2521
(618) 207-9565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010314
GA
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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