| Active Community Chiropractic, L.l.c. | |
|
5975 Roswell Rd Ne Suite A-109 Sandy Springs GA 30328-4048 | |
| (678) 628-9925 | |
| Not Available |
| Full Name | Active Community Chiropractic, L.l.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 5975 Roswell Rd Ne, Sandy Springs, Georgia |
| Authorized Official Name and Position | Hailey Elizabeth Heard (OWNER) |
| Authorized Official Contact | 6786289925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Community Chiropractic, L.l.c. 1695 Terrell Ridge Dr Se Marietta GA 30067-6017 Ph: (678) 628-9925 | Active Community Chiropractic, L.l.c. 5975 Roswell Rd Ne Suite A-109 Sandy Springs GA 30328-4048 Ph: (678) 628-9925 |
| NPI Number | 1093028623 |
|---|---|
| Provider Enumeration Date | 07/25/2010 |
| Last Update Date | 07/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093028623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CHIR008692 (Georgia) | Primary |
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