| Dr. Jay Rosa, Chiropractor | |
|
76 Highland Pavilion Ct Hiram GA 30141-3169 | |
| (770) 439-6997 | |
| (636) 707-9772 |
| Full Name | Dr. Jay Rosa, Chiropractor |
|---|---|
| Speciality | Clinic/center |
| Location | 76 Highland Pavilion Ct, Hiram, Georgia |
| Authorized Official Name and Position | Efmam Jay Rosa (OWNER) |
| Authorized Official Contact | 7708375609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jay Rosa, Chiropractor 76 Highland Pavilion Ct Hiram GA 30141-3169 Ph: (770) 439-6997 | Dr. Jay Rosa, Chiropractor 76 Highland Pavilion Ct Hiram GA 30141-3169 Ph: (770) 439-6997 |
| NPI Number | 1104105733 |
|---|---|
| Provider Enumeration Date | 08/14/2011 |
| Last Update Date | 05/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104105733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CHIR008582 (Georgia) | Primary |
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