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Individual

DR. JOHN THOMAS DUKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1455 BELLS FERRY RD STE 200, MARIETTA, GA 30066-6078
(678) 643-7205
(678) 643-7205
Mailing address
1455 BELLS FERRY RD STE 200, MARIETTA, GA 30066-6078
(770) 693-0707
(770) 693-0930

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005676
GA
111N00000X
Chiropractor
5676
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CHIR0005676
GA LICENSE NUMBER
GA
Enumeration date
11/16/2012
Last updated
07/21/2018
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