Organization
MINOR CHIROPRACTIC WORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PORSHE TIARA MINOR DC (CO OWNER)
(901) 603-2623
Entity
Organization
Contact information
Practice address
1050 SHILOH RD NW STE 303, KENNESAW, GA 30144-7197
(770) 370-7588
Mailing address
1050 SHILOH RD NW STE 303, KENNESAW, GA 30144-7197
(770) 370-7588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700532884
—
GA
Enumeration date
09/22/2022
Last updated
09/22/2022
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