Organization
PREMIER HEALTH CHIROPRACTIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN GLENN DE GRAAF DC (OWNER)
(678) 787-5774
Entity
Organization
Contact information
Practice address
6740 SHANNON PKWY STE 9, UNION CITY, GA 30291-2058
(404) 550-9398
Mailing address
6740 SHANNON PKWY STE 9, UNION CITY, GA 30291-2058
(404) 550-9398
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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