Organization
DARIN KOURAJIAN DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN KOURAJIAN DC (PRESIDENT)
(678) 457-0153
Entity
Organization
Contact information
Practice address
605 VALLEY HILL RD SW, RIVERDALE, GA 30274-2445
(678) 457-0153
Mailing address
321 RANDALL CT, LOCUST GROVE, GA 30248-7028
(678) 457-0153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6854
MEDICARE GROUP NUMBER
GA
Enumeration date
05/30/2008
Last updated
05/30/2008
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