Organization
THE ROESKE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICH ROESKE DC, DABCO, DABCN (OWNER)
(770) 435-0200
Entity
Organization
Contact information
Practice address
757 CONCORD RD SE, SMYRNA, GA 30082-2626
(770) 435-0200
(770) 435-4362
Mailing address
757 CONCORD RD SE, SMYRNA, GA 30082-2626
(770) 435-0200
(770) 435-4362
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CHIR001242
GA
111NN0400X
Neurology Chiropractor
CHIR001370
GA
111NX0800X
Orthopedic Chiropractor
CHIR001242
GA
Other
Enumeration date
05/03/2007
Last updated
12/15/2011
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