Individual
DR. RICHARD JOHN GROSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
39 LANCE ST, UNIT 6, BLUE RIDGE, GA 30513-8024
(770) 317-7583
Mailing address
39 LANCE ST, UNIT 6, BLUE RIDGE, GA 30513-8024
(770) 317-7583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO07653
GA
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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