Organization
HYBRID SPINE AND SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ALEXANDER DC (OWNER)
(678) 315-4632
Entity
Organization
Contact information
Practice address
11050 CRABAPPLE RD STE 110C, ROSWELL, GA 30075-2476
(678) 315-4632
Mailing address
11050 CRABAPPLE RD STE 110C, ROSWELL, GA 30075-2476
(678) 315-4632
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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