100 Chiro Burrell PC
Chiropractor in Decatur, GA. Organization (NPI-2).
NPI number1619703386
StatusActive
Last updated in NPPESDec 11, 2024
Details
- NPI
- 1619703386
- Entity type
- Organization (NPI-2)
- Legal business name
- 100 Chiro Burrell PC
- Organization subpart
- No
- Enumeration date
- Sep 10, 2024
- Certification date
- Dec 11, 2024
- Last updated
- Dec 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
1605 Church St Ste 665Decatur, GA 30033-6074
Phone 404-343-3304
Mailing address
1605 Church St Ste 665Decatur, GA 30033-6074
Authorized official
Ricardo Burrell
Manager
4043433304
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