Organization
VANCE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUST VANCE DC (OWNER)
(678) 549-4863
Entity
Organization
Contact information
Practice address
2300 SHALLOWFORD RD STE 8, MARIETTA, GA 30066-2075
(678) 549-4863
Mailing address
2300 SHALLOWFORD RD STE 8, MARIETTA, GA 30066-2075
(678) 549-4863
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008402
GA
Other
Enumeration date
10/08/2015
Last updated
08/23/2021
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