Organization
HEALTH CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIQUE COOK (MANAGER)
(770) 719-8785
Entity
Organization
Contact information
Practice address
560 N JEFF DAVIS DR, FAYETTEVILLE, GA 30214-1665
(770) 719-8785
Mailing address
560 N JEFF DAVIS DR, FAYETTEVILLE, GA 30214-1665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01554
GA
111N00000X
Chiropractor
07386
GA
111N00000X
Chiropractor
08061
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
962327
COMMERCIAL
GA
Enumeration date
06/07/2007
Last updated
12/20/2007
About Stedi
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