Organization
BRIDGE CHIROPRACTIC AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRYL DICKERSON DC (OWNER/CHIROPRACTOR)
(770) 518-8786
Entity
Organization
Contact information
Practice address
2850 JOHNSON FERRY RD STE 150, MARIETTA, GA 30062-8317
(770) 518-8786
(770) 692-3659
Mailing address
2850 JOHNSON FERRY RD STE 150, MARIETTA, GA 30062-8317
(770) 518-8786
(770) 692-3659
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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