Organization
GANA CORPORATION
Active
Other names
Dr. Mitchell R. Gana
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL R GANA DC (OWNER/CHIROPRACTOR)
(770) 792-3383
Entity
Organization
Contact information
Practice address
1301 SHILOH RD NW, SUITE 1440, KENNESAW, GA 30144-7147
(770) 792-3383
(770) 792-2425
Mailing address
1301 SHILOH RD NW, SUITE 1440, KENNESAW, GA 30144-7147
(770) 792-3383
(770) 792-2425
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007683
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35ZCJBQ
MEDICARE PROVIDER#
GA
Enumeration date
04/22/2008
Last updated
04/22/2008
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