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Organization

BLOOM CHIROPRACTIC & WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SYDNEY ROUTH DC (OWNER/SOLE MEMBER)
(470) 604-6817
Entity
Organization

Contact information

Practice address
1290 KENNESTONE CIR STE 211, MARIETTA, GA 30066-6009
(470) 604-6817
Mailing address
1290 KENNESTONE CIR STE 211, MARIETTA, GA 30066-6009
(470) 604-6817

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
07/22/2021
Last updated
07/22/2021
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