Individual
DR. JOHN ANDREW RADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2727 CANTON RD STE 520, MARIETTA, GA 30066-5395
(770) 795-0506
Mailing address
2122 YORKSHIRE CT, WOODSTOCK, GA 30189-5223
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005936
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52671994
BLUE CROSS BLUE SHIELD
GA
Enumeration date
03/20/2007
Last updated
07/08/2007
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