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1174745517
PHILLIP IM
DULUTH, GA
NPI
1174745517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA CHIR007185)
Enumeration Date
2007-05-03
Last Update Date
2022-07-21
Business Address
Dr. PHILLIP IM CHIR 007185
2645 N BERKELEY LAKE RD NW # D-126
DULUTH, GA 30096-3002
Phone number: 678-571-7140
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Mailing Address
Dr. PHILLIP IM CHIR 007185
2645 N BERKELEY LAKE ROAD D-126
DULUTH, GA 30096
Phone number: 678-571-7140
Copy
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