Organization
NORTHSIDE SPINAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE GREGORY DAVIS B.S., D.C. (OWNER)
(678) 880-6616
Entity
Organization
Contact information
Practice address
101 MOUNTAIN BROOK DR, SUITE 104, CANTON, GA 30115-9017
(678) 880-6616
(678) 880-6617
Mailing address
101 MOUNTAIN BROOK DR, SUITE 104, CANTON, GA 30115-9017
(678) 880-6616
(678) 880-6617
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006295
GA
Other
Enumeration date
04/17/2007
Last updated
03/21/2013
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