Organization
KENT D VANDERSLICE DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT D VANDERSLICE DC (OWNER)
(404) 713-8883
Entity
Organization
Contact information
Practice address
1135 S MARIETTA PKWY SE, MARIETTA, GA 30060-2811
(770) 422-1059
(770) 422-4626
Mailing address
185 REGINA CIR SW, MARIETTA, GA 30064-3271
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006287
GA
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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