Organization
GEORGIA HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BONNER DC (CEO)
(678) 379-0943
Entity
Organization
Contact information
Practice address
125 EAGLE SPRING DR, SUITE C, STOCKBRIDGE, GA 30281-6328
(678) 379-0943
(678) 379-0945
Mailing address
125 EAGLE SPRING DR, SUITE C, STOCKBRIDGE, GA 30281-6328
(678) 379-0943
(678) 379-0945
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006388
GA
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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