Organization · NPI-2
100 Percent Chiropractic Foster LLC
Chiropractor · Marietta, GA
NPI number1295384584
StatusActive
Last updated in NPPESNov 19, 2019
Details
- NPI
- 1295384584
- Entity type
- Organization (NPI-2)
- Legal business name
- 100 Percent Chiropractic Foster LLC
- Organization subpart
- No
- Enumeration date
- Sep 9, 2019
- Last updated
- Nov 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
3625 Dallas HwySuite 850
Marietta, GA 30064-3121
Phone 678-571-1203
Mailing address
3625 Dallas Hwy Sw Ste 850Marietta, GA 30064-5925
Phone 678-571-1203
Authorized official
Jamie Foster Foster
Chiropractor
6785711203
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