Individual
DR. DEBRAH K. SWANBERG-GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
572 MADDOX DR., SUITE 205, EAST ELLIJAY, GA 30540
(706) 697-7463
Mailing address
572 MADDOX DR., STE 205, EAST ELLIJAY, GA 30540
(706) 697-7463
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0002792
GA
111N00000X
Chiropractor
Primary
CH0002792
GA
111N00000X
Chiropractor
CHIR002792
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58 1818194
FEI MARIETTA LOCATION
GA
01
—
58 2634299
FEI
GA
Enumeration date
04/13/2007
Last updated
06/24/2009
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