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Individual

ZACHARY SCOVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
147 CHADDS VW, ACWORTH, GA 30101-7924
(678) 385-4365
Mailing address
147 CHADDS VW, ACWORTH, GA 30101-7924
(678) 385-4365

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIR009363
GA

Other

Enumeration date
06/10/2015
Last updated
05/05/2022
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