Organization
BA REUN HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SHIN (DOCTOR/OWNER)
(770) 418-1110
Entity
Organization
Contact information
Practice address
3230 STEVE REYNOLDS BLVD, #208, DULUTH, GA 30096-8839
(770) 418-1110
Mailing address
3230 STEVE REYNOLDS BLVD, #208, DULUTH, GA 30096-8839
(770) 418-1110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007095
GA
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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