Organization
DANBER INC
Active
Other names
West Georgia Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JAMES MIELCARSKI DC (OWNER)
(678) 852-4070
Entity
Organization
Contact information
Practice address
624 NEWNAN ST, CARROLLTON, GA 30117-3429
(770) 834-6669
(770) 834-4814
Mailing address
624 NEWNAN ST, CARROLLTON, GA 30117-3429
(770) 834-6669
(770) 834-4814
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
07218
GA
Other
Enumeration date
02/11/2007
Last updated
02/13/2008
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