MEDICARE: STRONG SPINE AND BODY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1265077051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRONG SPINE AND BODY LLC

Provider Business Mailing Address
First Line	:	6425 POWERS FERRY RD STE 175
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30339-2964
Country	:	US
Telephone Number	:	678-831-5064
Fax Number	:

Provider Business Practice Location Address
First Line	:	6425 POWERS FERRY RD STE 175
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30339-2964
Country	:	US
Telephone Number	:	678-831-5064
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALYSSA KATHERINE DENNIS
Credential	:	DC
Telephone Number	:	703-795-3247

Provider Enumeration Date	:	11/15/2019
Last Update Date	:	02/17/2020

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Directions to “STRONG SPINE AND BODY LLC ” Practice Location

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