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1811149016
KEITH D QUATTLEBAUM
KENNESAW, GA
NPI
1811149016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA 2169)
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
Dr. KEITH D QUATTLEBAUM dc
4200 WADE GREEN ROAD
KENNESAW, GA 30144
Phone number: 770-427-2799
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Mailing Address
Dr. KEITH D QUATTLEBAUM dc
4200 WADE GREEN RD NW
KENNESAW, GA 30144-1237
Phone number: 770-427-2799
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