Organization
INJURY AND REHAB CENTERS OF GEORGIA 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LEYVA-IZAGUIRRE (OWNER)
(770) 466-3344
Entity
Organization
Contact information
Practice address
120 CAMP ST STE A, LOGANVILLE, GA 30052-3284
(770) 466-3344
Mailing address
120 CAMP ST STE A, LOGANVILLE, GA 30052-3284
(770) 466-3344
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005705
GA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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