Individual
TARA NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7037 MAHONIA PL, LITHONIA, GA 30038-4590
(770) 317-2577
Mailing address
7037 MAHONIA PL, LITHONIA, GA 30038-4590
(770) 317-2577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009452
GA
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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