Organization
EASTSIDE SPINE & PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE N. SORACCO D.C. (CLINIC DIRECTOR)
(770) 979-2225
Entity
Organization
Contact information
Practice address
1580 TREE LN, SNELLVILLE, GA 30078-2207
(770) 979-2225
(770) 979-8348
Mailing address
PO BOX 325, SNELLVILLE, GA 30078-0325
(770) 979-2225
(770) 979-8348
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR002563
GA
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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