THE BACK SHACK LLC

STONE MOUNTAIN, GA
NPI1003051343
Entity TypeOrganization
Authorized ContactDAVID FESCHUK
Doctor
404-775-9642
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: GA  CHIR006338)
Enumeration Date2008-12-15
Last Update Date2013-04-23
Business Address
THE BACK SHACK LLC
6740 JAMES B RIVERS DR
STONE MOUNTAIN, GA 30083-2235
Phone number: 404-775-9642
Mailing Address
THE BACK SHACK LLC
6740 JAMES B RIVERS DR
STONE MOUNTAIN, GA 30083-2235
Phone number: 404-775-9642
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