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100yeardoc, Llc
Chiropractor in Marietta, Georgia
NPI 1194291021

100yeardoc, Llc is a Chiropractor based in Marietta, GA. 100yeardoc, Llc practices in Marietta, GA. The NPI Number for 100yeardoc, Llc is 1194291021 and holds a License No. (Georgia).

The current practice location address for 100yeardoc, Llc is 1135 S Marietta Pkwy Se, Marietta, GA and can be reached out via phone at 770-422-9288.

Location: 1135 S Marietta Pkwy Se, Marietta, GA, 30060-2811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194291021
Provider Name
100yeardoc, Llc
Credential
Provider Entity Type
Organization
Address
1135 S Marietta Pkwy Se, Marietta, GA, 30060-2811
Phone Number
770-422-9288
Fax Number
Provider Enumeration Date
10/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1135 S Marietta Pkwy Se
City
Marietta
State
Georgia
Zip
30060-2830
Phone Number
770-422-9288
Fax Number
person
Provider Business Mailing Address Details
Address
1135 S Marietta Pkwy Se
City
Marietta
State
Georgia
Zip
30060-2830
Phone Number
770-422-9288
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
()
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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