Individual
MR. CLIFFORD DARRYL OSTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
500 NATHAN DEAN BLVD, SUITE 103, DALLAS, GA 30157
(770) 445-6919
(770) 445-5659
Mailing address
72 DARE LANE, DALLS, GA 30157
(770) 443-3349
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5927
GA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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