Individual
GARRETT BOURES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3422 SIXES RD STE 110, CANTON, GA 30114-9120
(770) 213-8890
Mailing address
104 DOVERHOUSE ST, CANTON, GA 30114-3147
(908) 319-2787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR066667
GA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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