Organization
NORTHEAST CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK THOMAS SHERIDAN DC (PRESIDENT/CHIROPRACTOR)
(770) 451-9494
Entity
Organization
Contact information
Practice address
5725 BUFORD HWY NE, SUITE 105, ATLANTA, GA 30340-1230
(770) 451-9494
Mailing address
5725 BUFORD HWY NE, SUITE 105, ATLANTA, GA 30340-1230
(770) 451-9494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
GA 3071
GA
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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