Organization
BRAINSTEM SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SEDLOCK (PRESIDENT)
(770) 450-9394
Entity
Organization
Contact information
Practice address
9700 MEDLOCK BRIDGE RD, 132, JOHNS CREEK, GA 30097-4411
(770) 450-9394
Mailing address
2610 MOON CHASE LN, BUFORD, GA 30519-5363
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008982
GA
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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