Individual
MONTE GANSBORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1332 MAY AVE SE, ATLANTA, GA 30316-2008
(404) 521-3950
Mailing address
PO BOX 160246, ATLANTA, GA 30316-1005
(404) 521-3950
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR001197
GA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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