Organization
100 CHIRO BRANCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIANA BRANCH (OWNER/PROVIDER)
(470) 957-1744
Entity
Organization
Contact information
Practice address
100 BLUE MOON XING STE 103, POOLER, GA 31322-9809
(470) 957-1744
Mailing address
100 BLUE MOON XING STE 103, POOLER, GA 31322-9809
(470) 957-1744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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