Organization
J. STEPHEN BENNETT JR.
Active
Other names
Northeast GA Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH STEPHEN BENNETT JR. D.C. (SOLE PROPRIETOR)
(770) 534-8614
Entity
Organization
Contact information
Practice address
4211 MUNDY MILL PL, SUITE B, OAKWOOD, GA 30566-2540
(770) 534-8614
(770) 534-8169
Mailing address
4211 MUNDY MILL PL, SUITE B, OAKWOOD, GA 30566-2540
(770) 534-8614
(770) 534-8169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2278
GA
Other
Enumeration date
04/23/2007
Last updated
03/03/2011
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