Individual
GARRYSON RIDGELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2605 MYRTLEWOOD LN NW, KENNESAW, GA 30144-7428
(515) 745-8807
Mailing address
2605 MYRTLEWOOD LN NW, KENNESAW, GA 30144-7428
(515) 745-8807
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11153
GA
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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