Individual
DR. TODD M SUPNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2829 WATTS DR NW, STE B, KENNESAW, GA 30144-2722
(770) 429-0707
(770) 425-9020
Mailing address
2829 WATTS DR NW, STE B, KENNESAW, GA 30144-2722
(770) 429-0707
(770) 425-9020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007097
GA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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