Organization
AGU CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYRIL IFEANYI AGU DC (PRESIDENT)
(770) 472-5666
Entity
Organization
Contact information
Practice address
47 HIGHWAY 138 SW, SUITE B, RIVERDALE, GA 30274
(770) 472-5666
(770) 472-0156
Mailing address
47 HIGHWAY 138 SW, SUITE B, RIVERDALE, GA 30274
(770) 472-5666
(770) 472-0156
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
05288
GA
Other
Enumeration date
03/09/2007
Last updated
07/20/2009
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