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Centennial Chiropractic
Medical Specialty Clinic/Center in Marietta, Georgia
NPI 1811169378

Centennial Chiropractic is a Medical Specialty Clinic/Center based in Marietta, GA and is specialized in Medical Specialty. Centennial Chiropractic practices in Marietta, GA. The NPI Number for Centennial Chiropractic is 1811169378 and holds a License No. GA005452 (Georgia).

The current practice location address for Centennial Chiropractic is 4343 Shallowford Rd, Marietta, GA and can be reached out via phone at 770-649-1730 and via fax at 770-649-1731.

Location: 4343 Shallowford Rd, Marietta, GA, 30062-5023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811169378
Provider Name
Centennial Chiropractic
Credential
Provider Entity Type
Organization
Address
4343 Shallowford Rd, Marietta, GA, 30062-5023
Phone Number
770-649-1730
Fax Number
770-649-1731
Provider Enumeration Date
03/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4343 Shallowford Rd
City
Marietta
State
Georgia
Zip
30062-5023
Phone Number
770-649-1730
Fax Number
770-649-1731
person
Provider Business Mailing Address Details
Address
4343 Shallowford Rd
City
Marietta
State
Georgia
Zip
30062-5023
Phone Number
770-649-1730
Fax Number
770-649-1731
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
GA005452 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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