Organization
TRULIFE CHIROPRACTIC AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA JEAN GILES DC (OWNER)
(678) 685-4483
Entity
Organization
Contact information
Practice address
126 N. PIEDMONT AVE, ROCKMART, GA 30153
(678) 685-4483
(678) 685-4487
Mailing address
126 N. PIEDMONT AVE, ROCKMART, GA 30153
(678) 685-4483
(678) 685-4487
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CHIR008743
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083915375
PROVIDER NPI NUMBER
GA
Enumeration date
11/22/2010
Last updated
11/22/2010
Update your record
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