Organization
KEN ZOODSMA & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ROGER ZOODSMA D.C. (PRESIDENT)
(478) 390-6321
Entity
Organization
Contact information
Practice address
749 RIVERSIDE DRIVE LN, MACON, GA 31201-2658
(478) 390-6321
Mailing address
12485 CONCORD HALL DR, ALPHARETTA, GA 30005-4386
(478) 390-6321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005027
GA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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