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Michelle Klos D.c. Inc.
Clinic/Center in Mcdonough, Georgia
NPI 1760717573

Michelle Klos D.c. Inc. is a Clinic/Center based in Canton, GA. Michelle Klos D.c. Inc. practices in Mcdonough, GA. The NPI Number for Michelle Klos D.c. Inc. is 1760717573 and holds a License No. CHIROO8486 (Georgia).

The current practice location address for Michelle Klos D.c. Inc. is 386 Racetrack Rd, Mcdonough, GA and can be reached out via phone at 678-583-2982 and via fax at 678-583-2984.

Location: 386 Racetrack Rd, Mcdonough, GA, 30114-8867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760717573
Provider Name
Michelle Klos D.c. Inc.
Credential
Provider Entity Type
Organization
Address
386 Racetrack Rd, Mcdonough, GA, 30114-8867
Phone Number
678-583-2982
Fax Number
678-583-2984
Provider Enumeration Date
10/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202G35640 01 GA MEDICARE OFFICE #
institution
Provider Business Practice Location Address Details
Address
386 Racetrack Rd
City
Mcdonough
State
Georgia
Zip
30252-1022
Phone Number
678-583-2982
Fax Number
678-583-2984
person
Provider Business Mailing Address Details
Address
386 Racetrack Rd
City
Mcdonough
State
Georgia
Zip
30252-1022
Phone Number
678-583-2982
Fax Number
678-583-2984
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
CHIROO8486 (Georgia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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