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Organization

1023 LLC

Active
Other names
Corey Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TISHA COREY DC (OWNER)
(770) 866-4075
Entity
Organization

Contact information

Practice address
2440 SANDY PLAINS RD BLDG 8, MARIETTA, GA 30066-7218
(770) 866-4075
Mailing address
2440 SANDY PLAINS RD BLDG 8, MARIETTA, GA 30066-7218
(770) 866-4075

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
06/02/2021
Last updated
06/02/2021
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