Individual
DR. JENEEN RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
510 SWANSON RD, TYRONE, GA 30290-6900
(770) 964-5230
(770) 964-5230
Mailing address
510 SWANSON RD, TYRONE, GA 30290-6900
(770) 964-5230
(770) 964-5260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008061
GA
Other
Enumeration date
12/05/2007
Last updated
01/29/2009
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