Organization
TREE TRAIL MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN T LARSON D.C. (OWNER)
(770) 638-7246
Entity
Organization
Contact information
Practice address
1250 TECH DR STE 460, NORCROSS, GA 30093-6245
(770) 638-7246
(770) 806-0991
Mailing address
1250 TECH DR STE 460, NORCROSS, GA 30093-6245
(770) 638-7246
(770) 806-0991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005852
GA
207R00000X
Internal Medicine Physician
038843
GA
Other
Enumeration date
10/16/2006
Last updated
09/11/2025
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