Individual
LATESHIA CLASHEY MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1557 TERRELL MILL RD SE APT 2200F, MARIETTA, GA 30067-3077
(843) 252-1456
Mailing address
1557 TERRELL MILL RD SE APT 2200F, MARIETTA, GA 30067-3077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010605
GA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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