Individual
DR. CLYDE EMIR NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
775 S PARK ST, SUITE 102, CARROLLTON, GA 30117-3825
(678) 485-3155
Mailing address
775 S PARK ST, SUITE 102, CARROLLTON, GA 30117-3825
(678) 485-3155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
380
PR
111NP0017X
Pediatric Chiropractor
CHIR008718
GA
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR008718
GA
Other
Enumeration date
11/30/2006
Last updated
04/17/2013
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