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1992048136
BODY CORE NEUROPATHY & SPINE GROUP
MARIETTA, GA
NPI
1992048136
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Entity Type
Organization
Authorized Contact
ALICIA A CRUSSE
Owner
770-993-6010
Organization Subpart ?
No
Primary Taxonomy
111NR0400X
(Licence: GA CHIR008654)
Enumeration Date
2013-04-05
Last Update Date
2013-04-05
Business Address
BODY CORE NEUROPATHY & SPINE GROUP
3855 SHALLOWFORD RD SUITE 510
MARIETTA, GA 30062-4195
Phone number: 770-993-6010
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Mailing Address
BODY CORE NEUROPATHY & SPINE GROUP
3855 SHALLOWFORD RD SUITE 510
MARIETTA, GA 30062-4195
Phone number: 770-993-6010
Copy
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