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Organization

GROSTIC CHIROPRACTIC, PC

Active
Other names
chiropractor
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD JOHN GROSTIC D.C. (PRESIDENT/DOCTOR)
(770) 317-7583
Entity
Organization

Contact information

Practice address
2752 WATTS DR NW, SUITE A, KENNESAW, GA 30144-2721
(678) 401-6256
Mailing address
2752 WATTS DR NW, SUITE A, KENNESAW, GA 30144-2721
(678) 401-6256

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007653
GA

Other

Enumeration date
10/18/2009
Last updated
10/18/2009
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