Organization
TEAM CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT VINCENT DIMARTINO D.C. (OWNER)
(678) 402-1091
Entity
Organization
Contact information
Practice address
10175 DALLAS ACWORTH HWY, SUITE 119, DALLAS, GA 30132-9300
(678) 402-1091
Mailing address
10175 DALLAS ACWORTH HWY, SUITE 119, DALLAS, GA 30132-9300
(678) 402-1091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007600
GA
111N00000X
Chiropractor
Primary
007609
GA
Other
Enumeration date
08/18/2009
Last updated
06/28/2012
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