Organization
VIDA BRAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDA KHALILI DC (OWNER)
(404) 671-8499
Entity
Organization
Contact information
Practice address
1400 HEMBREE RD, ROSWELL, GA 30076-5719
(404) 671-8499
Mailing address
3717 CHEROKEE PL SE, MARIETTA, GA 30067-4229
(404) 488-3368
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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