Organization
FAAL LLC
Active
Other names
Ballard Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAHE TILLMAN D.C. (CHIROPRACTOR)
(770) 426-6639
Entity
Organization
Contact information
Practice address
3506 CHEROKEE ST, KENNESAW, GA 30144
(770) 426-6639
(770) 426-0810
Mailing address
3506 CHEROKEE ST, KENNESAW, GA 30144
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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