Individual
DR. MICHAEL E. BREAZEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2810 COBB LN SE, SMYRNA, GA 30082-2003
(770) 436-5712
(770) 436-1215
Mailing address
3655 HICKORY CIR SE, SMYRNA, GA 30080-5615
(404) 403-1248
(770) 436-1215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4895
GA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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