Individual
DR. KATHLEEN GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
117 S CARROLL RD, VILLA RICA, GA 30180
(770) 459-8439
Mailing address
PO BOX 446, VILLA RICA, GA 30180
(770) 459-8439
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002834
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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