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Naturally Rooted Chiropractic PC

Chiropractor in Dacula, GA. Organization (NPI-2).

NPI number1255152138
StatusActive
Last updated in NPPESOct 23, 2024

Details

NPI
1255152138
Entity type
Organization (NPI-2)
Legal business name
Naturally Rooted Chiropractic PC
Organization subpart
No
Enumeration date
Oct 23, 2024
Certification date
Oct 22, 2024
Last updated
Oct 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

2300 Liam Ave Ste 204
Dacula, GA 30019-2264

Phone 404-808-3356

Mailing address

3245 Ambergrove Trce
Dacula, GA 30019-6811

Phone 404-808-3356

Authorized official

Natasha Donjoie-Mathieu
Ceo
4048083356

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