Organization
KENNESAW WEST CHIRO AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICK BURKE (CO-OWNER)
(770) 630-3458
Entity
Organization
Contact information
Practice address
1600 KENNESAW DUE WEST RD NW STE 501, KENNESAW, GA 30152-4304
(678) 742-8528
Mailing address
1600 KENNESAW DUE WEST RD NW STE 501, KENNESAW, GA 30152-4304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008319
GA
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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