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NPI Code Detail

MEDICARE: CHIROPRACTIC CENTER OF MARIETTA PC

MEDICARE: CHIROPRACTIC CENTER OF MARIETTA PC
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
1111N00000XChiropractor1320GA

General Provider Information

NPI Number : 1548227929
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC CENTER OF MARIETTA PC
Provider Business Mailing Address
First Line : 1135 S MARIETTA PKWY SE
Second Line :
City : MARIETTA
State : GA
Zip : 30060-2811
Country : US
Telephone Number : 770-422-9288
Fax Number : 770-422-4626
Provider Business Practice Location Address
First Line : 1135 S MARIETTA PKWY SE
Second Line :
City : MARIETTA
State : GA
Zip : 30060-2811
Country : US
Telephone Number : 770-422-9288
Fax Number : 770-422-4626
Authorized Official
Title or Position : PRESIDENT
Name : DR. RANSON WAYNE GABY
Credential : DC
Telephone Number : 770-422-9288
Provider Enumeration Date : 04/28/2006
Last Update Date : 06/18/2008

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Directions to “CHIROPRACTIC CENTER OF MARIETTA PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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