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NPI Code Detail

MEDICARE: ANCHOR CHIROPRACTIC OF MARIETTA

MEDICARE: ANCHOR CHIROPRACTIC OF MARIETTA
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1629844329
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANCHOR CHIROPRACTIC OF MARIETTA
Provider Business Mailing Address
First Line : 1120 HAVEL DR SW
Second Line :
City : MARIETTA
State : GA
Zip : 30008-8149
Country : US
Telephone Number : 808-275-6597
Fax Number :
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 :
Authorized Official
Title or Position : OWNER
Name : DR. MICHAEL MONGIELLO
Credential : DC
Telephone Number : 808-275-6597
Provider Enumeration Date : 12/04/2023
Last Update Date : 12/04/2023

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Directions to “ANCHOR CHIROPRACTIC OF MARIETTA ” 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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