Organization
ADVANCED PAIN & SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PAUL SIKANOWICZ (PRESIDENT)
(678) 494-9660
Entity
Organization
Contact information
Practice address
246 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(678) 494-9960
Mailing address
246 CREEKSTONE RIDGE, WOODSTOCK, GA 30188
(678) 494-9960
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR006757
GA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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