Individual
DR. RICHARD JOHN DE CARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4686 S ATLANTA RD SE, SUITE G, SMYRNA, GA 30080-7080
(404) 794-4357
(404) 794-8205
Mailing address
4686 S ATLANTA RD SE, SUITE G, SMYRNA, GA 30080-7080
(404) 794-4357
(404) 794-8205
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4813
GA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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