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WOODSTOCK, GA
NPI1770796203
Entity TypeOrganization
Authorized ContactKIMBERLY ANNE VACCARO
Owner
678-494-6735
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: GA  4718)
Enumeration Date2007-05-08
Last Update Date2010-10-20
Business Address
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5101 OLD HWY 5 SUITE 1
WOODSTOCK, GA 30188
Phone number: 678-494-6735
Mailing Address
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PO BOX 2031
ACWORTH, GA 30102
Phone number: 678-494-6735
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