Individual
ROBERT LARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3565 PIEDMONT RD NE, BUILDING 2 SUITE 310, ATLANTA, GA 30305-8202
(404) 352-8900
Mailing address
3319 RIVER HEIGHTS XING SE, MARIETTA, GA 30067-4860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO09332
GA
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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