Individual
DR. JODY ALLEN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C. B.A.
Contact information
Practice address
120 PROSPECTER DR, VILLA RICA, GA 30180-1098
(770) 459-5070
(770) 459-1070
Mailing address
120 PROSPECTER DR, P.O. BOX 579, VILLA RICA, GA 30180-1098
(770) 459-5070
(770) 459-1070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006167
GA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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