Organization
MICHELLE KLOS D.C. INC.
Active
Other names
Southside Spinal Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ELIZABETH MONASTERSKI-KLOS D.C. (CHIROPRACTOR/OWNER)
(678) 583-2982
Entity
Organization
Contact information
Practice address
386 RACETRACK RD, MCDONOUGH, GA 30252-1022
(678) 583-2982
(678) 583-2984
Mailing address
604 PEBBLE RD, CANTON, GA 30114-8867
(678) 697-9667
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CHIROO8486
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G35640
MEDICARE OFFICE #
GA
Enumeration date
10/12/2009
Last updated
09/06/2010
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