Organization
RIGHTEOUS RIVERS LLC
Active
Other names
Phoenix Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER WIDJAJA (CLINIC DIRECTOR)
(352) 871-2883
Entity
Organization
Contact information
Practice address
6050 PEACHTREE PKWY STE 420, PEACHTREE CORNERS, GA 30092-3362
(770) 744-5810
Mailing address
6050 PEACHTREE PKWY STE 420, PEACHTREE CORNERS, GA 30092-3362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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