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Organization

A&W FAMILY CHIROPRACTIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHELL SHEA ARNOLD D.C. (OWNER)
(678) 285-1100
Entity
Organization

Contact information

Practice address
3894 DUE WEST RD NW, SUITE 210, MARIETTA, GA 30064-1071
(678) 285-1100
(678) 285-1102
Mailing address
3894 DUE WEST RD NW, SUITE 210, MARIETTA, GA 30064-1071
(678) 285-1100
(678) 285-1102

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35ZCHRV
MEDICARE LEGACY
GA
Enumeration date
12/07/2007
Last updated
02/12/2008
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