Organization
JYOTI CORPORATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAN MODI DC (OWNER)
(770) 353-9339
Entity
Organization
Contact information
Practice address
3855 SHALLOWFORD RD STE 410, MARIETTA, GA 30062-4197
(770) 353-9339
Mailing address
3855 SHALLOWFORD RD STE 410, MARIETTA, GA 30062-4197
(770) 353-9339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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