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1194357046
PROSPINE WELLNESS & INJURY CARE PC
KENNESAW, GA
NPI
1194357046
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Entity Type
Organization
Authorized Contact
RAYMOND D TAYLOR
President
602-430-6994
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2020-02-09
Last Update Date
2020-02-09
Business Address
PROSPINE WELLNESS & INJURY CARE PC
4200 WADE GREEN RD NW STE 204
KENNESAW, GA 30144-1808
Phone number: 602-430-6994
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Mailing Address
PROSPINE WELLNESS & INJURY CARE PC
3430 HARRIS FARMS WAY
AUSTELL, GA 30106-8017
Phone number: 602-430-6994
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