Organization
LAKESIDE CHIROPRACTIC WELLNESS CENTER, LLC
Active
Other names
Lakeside Chiropractic Wellness Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE ENOCH CALLAWAY D.C. (CHIROPRACTOR/OWNER)
(678) 401-8207
Entity
Organization
Contact information
Practice address
3750 PALLADIAN VILLAGE DR, SUITE 330, MARIETTA, GA 30066-8200
(678) 401-8207
(866) 248-6750
Mailing address
1208 KILLARNEY SE, SMYRNA, GA 30080-8515
(678) 644-1990
(866) 248-6750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008802
GA
Other
Enumeration date
01/24/2012
Last updated
04/27/2012
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