Organization · NPI-2
100 Percent Chiropractic Atlanta Seven LLC
Chiropractor · Marietta, GA
NPI number1932584083
StatusActive
Last updated in NPPESJun 14, 2016
Details
- NPI
- 1932584083
- Entity type
- Organization (NPI-2)
- Legal business name
- 100 Percent Chiropractic Atlanta Seven LLC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2015
- Last updated
- Jun 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIR009463 | GA | Yes |
Practice location
125 Barrett PkwyMarietta, GA 30066-3331
Phone 678-324-1016 · Fax 678-401-7647
Mailing address
125 Barrett PkwyMarietta, GA 30066-3331
Phone 678-324-1016 · Fax 678-401-7647
Authorized official
Nico Staples
Owner
6783241016
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