Individual
DR. CAROL ANTONINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., C.C.S.T.
Contact information
Practice address
4300 PLEASANT HILL RD, SUITE B, DULUTH, GA 30096-6379
(770) 623-3050
Mailing address
4300 PLEASANT HILL RD, SUITE B, DULUTH, GA 30096-6379
(770) 623-3050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4729
GA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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