Mark Timothy Grant D.C.

NPI 1417016668 - Chiropractor - 111N00000X

NPI Details
NPI 1417016668
Gender Male
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
803 POWDER SPRINGS ST STE 10
MARIETTA GA, 30064-3649, US
Phone (770) 419-8691
Fax (770) 419-8793
Business Location
803 POWDER SPRINGS ST STE 10
MARIETTA GA, 30064-3649, US
Phone (770) 419-8691
Fax (770) 419-8793
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number CHIR002949
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According to our database, Dr. Mark Timothy Grant D.C. NPI is 1417016668, taxonomy code is 111N00000X and license number is CHIR002949, license state is located at Georgia. Mark Timothy Grant D.C. physically located at 803 Powder Springs St Ste 10, Marietta GA, 30064-3649. NPI Number Mark Timothy Grant D.C. has the Individual type.

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1417016668 NPI number is provided on an as is basis without warranty of any kind. 1417016668 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Timothy Grant D.C. are for informational purposes only.