Organization
MALOOF CHIROPRACTIC CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARION J MALOOF D.C., B.C.A.O. (PRESIDENT)
(770) 923-1111
Entity
Organization
Contact information
Practice address
1235 PLEASANT HILL RD, LAWRENCEVILLE, GA 30044-3003
(770) 923-1111
(770) 923-0117
Mailing address
1235 PLEASANT HILL RD, LAWRENCEVILLE, GA 30044-3003
(770) 923-1111
(770) 923-0117
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
006838
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205914207
NPI NUMBER
GA
01
—
GRP5117
MEDICARE GROUP NUMBER
GA
Enumeration date
05/22/2007
Last updated
08/22/2020
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