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Individual

RANSOM WAYNE GABY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1135 S MARIETTA PKWY SE, MARIETTA, GA 30060-2811
(770) 422-9288
(770) 422-4626
Mailing address
1135 S MARIETTA PKWY SE, MARIETTA, GA 30060-2811
(770) 422-9288
(770) 422-4626

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1320
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56-2403146
ASH
GA
01
T86435
RAILROAD MEDICARE
GA
Enumeration date
04/28/2006
Last updated
10/18/2018
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