Organization
NEO CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIKWANG NAM (DOCTOR/OWNER)
(770) 418-2340
Entity
Organization
Contact information
Practice address
10900 MEDLOCK BRIDGE RD, SUITE 202, DULUTH, GA 30097-1503
(770) 418-2340
(770) 418-1455
Mailing address
10900 MEDLOCK BRIDGE RD, SUITE 202, DULUTH, GA 30097-1503
(770) 418-2340
(770) 418-1455
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008082
GA
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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