Individual
DR. GLENN RICHARD ELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8720 MAIN ST, SUITE 120, WOODSTOCK, GA 30188-4946
(770) 592-1909
Mailing address
8720 MAIN ST, SUITE 120, WOODSTOCK, GA 30188-4946
(770) 592-1909
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2109
GA
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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