Organization · NPI-2

1023 LLC

Chiropractor · Marietta, GA

NPI number1689240467
StatusActive
Last updated in NPPESJun 2, 2021

Details

NPI
1689240467
Entity type
Organization (NPI-2)
Legal business name
1023 LLC
Organization subpart
No
Enumeration date
Jun 2, 2021
Certification date
Jun 2, 2021
Last updated
Jun 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Other names

  • Corey Chiropractic (Doing Business As)

Practice location

2440 Sandy Plains Rd Bldg 8
Marietta, GA 30066-7218

Phone 770-866-4075

Mailing address

2440 Sandy Plains Rd Bldg 8
Marietta, GA 30066-7218

Phone 770-866-4075

Authorized official

Tisha Corey
Owner
7708664075

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