Organization
EXTRAORDINARY LIFE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LYNN PERRY D.C. (PRESIDENT)
(270) 993-5398
Entity
Organization
Contact information
Practice address
6822 GLENRIDGE DR NE, UNIT J, SANDY SPRING, GA 30328
(270) 993-5398
Mailing address
6822 GLENRIDGE DR NE, UNIT J, SANDY SPRING, GA 30328
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CHIR009135
GA
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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