Organization
MARIETTA SQUARE CHIROPRACTIC, INC.
Active
Other names
CHIROPRACTIC CARE OF MARIETTA SQUARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT ALAN BRUMBAUGH DC (OWNER)
(672) 472-6262
Entity
Organization
Contact information
Practice address
487 ROSWELL ST NE, MARIETTA, GA 30060-2066
(770) 428-4656
(770) 428-4956
Mailing address
487 ROSWELL ST NE, MARIETTA, GA 30060-2066
(770) 428-4656
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6957
GA
Other
Enumeration date
08/11/2007
Last updated
04/25/2024
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