Organization
AC CHIROPRACTIC LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE ALTIERI DC (PROVIDOR PARTNER)
(770) 513-8922
Entity
Organization
Contact information
Practice address
217 SCENIC HWY # 124, LAWRENCEVILLE, GA 30046-5621
(770) 513-8922
(770) 513-0547
Mailing address
217 SCENIC HWY # 124, LAWRENCEVILLE, GA 30046-5621
(770) 513-8922
(770) 513-0547
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR004727
GA
111N00000X
Chiropractor
Primary
CHIR004740
GA
Other
Enumeration date
11/16/2006
Last updated
11/28/2011
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