Organization
BOLEN CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT T. BOLEN D.C. (PRESIDENT)
(770) 513-1591
Entity
Organization
Contact information
Practice address
78 SCENIC HWY, LAWRENCEVILLE, GA 30045-5729
(770) 513-1591
(770) 513-0221
Mailing address
78 SCENIC HWY, LAWRENCEVILLE, GA 30045-5729
(770) 513-1591
(770) 513-0221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001396
GA
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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