Individual
DR. MARK ANTHONY VETTRAINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2632 GLADSTONE TER, WOODSTOCK, GA 30189-6883
(678) 634-2422
Mailing address
2632 GLADSTONE TER, WOODSTOCK, GA 30189-6883
(678) 634-2422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR011219
GA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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