Organization
GEORGIA SPECIFIC CLINIC OF CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM EDGARDO SORIANO D.C. (PRESIDENT)
(770) 896-0157
Entity
Organization
Contact information
Practice address
49 PIEDMONT DR, SUITE 104, WINDER, GA 30680-8118
(770) 896-0157
Mailing address
PO BOX 1665, WINDER, GA 30680-6665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008754
GA
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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