Organization
LIFE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY AILEEN CAGLE EOD (DIRECTOR OF CLINIC BUSINESS)
(770) 426-2786
Entity
Organization
Contact information
Practice address
1415 BARCLAY CIRCLE, MARIETTA, GA 30060
(770) 792-6100
Mailing address
1415 BARCLAY CIRCLE, MARIETTA, GA 30060
(770) 792-6100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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