Abbastar, Inc

NPI 1013101617 - Chiropractor - 111N00000X

NPI Details
NPI 1013101617
Enumeration Date 08/28/2007
Last Updated 08/12/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RONALD RONALD
Position PRESIDENT
Phone (706) 865-1229
Fax (706) 865-1229
Practice Location
783 S. MAIN ST.
SUITE 10
CLEVELAND GA, 30528, US
Phone (706) 865-1229
Fax (706) 865-1229
Business Location
783 S. MAIN ST.
SUITE 10
CLEVELAND GA, 30528, US
Phone (706) 865-1229
Fax (706) 865-1229
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number GAOOO2765
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According to our database, Abbastar, Inc NPI is 1013101617, taxonomy code is 111N00000X and license number is GAOOO2765, license state is located at Georgia. Abbastar, Inc physically located at 783 S. Main St., Cleveland GA, 30528. NPI Number 1033115704 has the healthcare provider type.

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1013101617 NPI number is provided on an as is basis without warranty of any kind. 1013101617 is maintained by the National Plan & Provider Enumeration System. The contents of Abbastar, Inc are for informational purposes only.