Organization
ACUPRACTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN GREEN D.C. (PRESIDENT)
(770) 427-2799
Entity
Organization
Contact information
Practice address
4200 WADE GREEN RD NW, SUITE # 27, KENNESAW, GA 30144-1237
(770) 427-2799
Mailing address
4200 WADE GREEN RD NW, SUITE # 27, KENNESAW, GA 30144-1237
(770) 427-2799
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CHIR002560
GA
Other
Enumeration date
03/25/2008
Last updated
05/02/2011
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