Organization
LILBURN SPORTS CHIROPRACTIC YOUTH REJUVENATION, LLC
Active
Other names
Lilburn Sports Chiropractic & Rejuvenation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R PRUNI D.C. (OWNER)
(404) 861-1400
Entity
Organization
Contact information
Practice address
3035 FIVE FORKS TRICKUM RD SW STE 7, LILBURN, GA 30047-1874
(770) 985-5223
Mailing address
3035 FIVE FORKS TRICKUM RD SW STE 7, LILBURN, GA 30047-1874
(770) 985-5223
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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