100YEARDOC, LLC

MARIETTA, GA
NPI1194291021
Entity TypeOrganization
Authorized ContactJOSHUA M WILSON
Chiropractor
770-422-9288
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
Enumeration Date2018-10-18
Last Update Date2018-10-22
Business Address
100YEARDOC, LLC
1135 S MARIETTA PKWY SE
MARIETTA, GA 30060-2830
Phone number: 770-422-9288
Mailing Address
100YEARDOC, LLC
1135 S MARIETTA PKWY SE
MARIETTA, GA 30060-2811
Phone number: