Organization
GWINNETT SPINAL & REHAB. CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WILLIAM MATTSON D.C (CEO)
(770) 643-8638
Entity
Organization
Contact information
Practice address
55 W CROSSVILLE RD, ROSWELL, GA 30075-2901
(770) 643-8638
(770) 817-5757
Mailing address
55 W CROSSVILLE RD, ROSWELL, GA 30075-2901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006363
GA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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