Organization
CHIROPRACTIC CENTER OF KENNESAW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD SUPNICK DC (OWNER)
(770) 262-1909
Entity
Organization
Contact information
Practice address
3531 CHEROKEE ST NW, KENNESAW, GA 30144-1909
(770) 262-1909
(678) 947-3064
Mailing address
3531 CHEROKEE ST NW, KENNESAW, GA 30144-1909
(770) 262-1909
(678) 947-3064
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR007097
GA
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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