Organization
WILLIS FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA EVERHEART (PRACTICE MANAGER)
(770) 429-0707
Entity
Organization
Contact information
Practice address
2829 DALLAS ST NW, KENNESAW, GA 30144-2705
(770) 429-0707
Mailing address
2829 DALLAS ST NW, KENNESAW, GA 30144-2705
(770) 429-0707
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9165
GA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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