Individual
MAGGIE DETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2125 PACE ST, COVINGTON, GA 30014-6659
(770) 786-2818
(844) 760-0502
Mailing address
2125 PACE ST, COVINGTON, GA 30014-6659
(770) 786-2818
(844) 760-0502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010667
GA
111NP0017X
Pediatric Chiropractor
010667
GA
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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