Jay Mark Goldklang D.C.

NPI 1053490292 - Chiropractor - 111N00000X

NPI Details
NPI 1053490292
Gender Male
Enumeration Date 11/06/2006
Last Updated 10/01/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
4345 ATLANTA HWY
HIRAM GA, 30141-1827, US
Phone (770) 943-8600
Fax (770) 505-2889
Business Location
4799 FAIRVILLE CT
MARIETTA GA, 30062-6479, US
Phone (770) 943-8600
Fax (770) 943-9682
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number CHIROO4911
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According to our database, Dr. Jay Mark Goldklang D.C. NPI is 1053490292, taxonomy code is 111N00000X and license number is CHIROO4911, license state is located at Georgia. Jay Mark Goldklang D.C. physically located at 4345 Atlanta Hwy, Hiram GA, 30141-1827. NPI Number Jay Mark Goldklang D.C. has the Individual type.

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1053490292 NPI number is provided on an as is basis without warranty of any kind. 1053490292 is maintained by the National Plan & Provider Enumeration System. The contents of Jay Mark Goldklang D.C. are for informational purposes only.