Organization · NPI-2

Abundant Life Chiropractic Health Centre, INC.

Chiropractor · Marietta, GA

NPI number1013134782
StatusActive
Last updated in NPPESJan 20, 2016

Details

NPI
1013134782
Entity type
Organization (NPI-2)
Legal business name
Abundant Life Chiropractic Health Centre, INC.
Organization subpart
No
Enumeration date
Apr 20, 2007
Last updated
Jan 20, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor2301007784MIYes

Practice location

3910 Charlemagne Way Sw
Marietta, GA 30064-1587

Phone 770-424-0453 · Fax 810-715-1245

Mailing address

3910 Charlemagne Way Sw
Marietta, GA 30064-1587

Phone 770-424-0453 · Fax 810-715-1245

Authorized official

Lonie C Harris
President, Ceo
8107151225

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