Vitality Sports Chiropractic

NPI 1801054416 - Chiropractor - 111N00000X

NPI Details
NPI 1801054416
Enumeration Date 05/30/2008
Last Updated 12/04/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JARED JARED
Position OWNER
Phone (678) 321-1710
Fax (678) 321-1710
Practice Location
255 NORCROSS ST
ROSWELL GA, 30075-3865, US
Phone (678) 321-1710
Fax (678) 321-1710
Business Location
265 EDWARDTON CT
ROSWELL GA, 30076-3685, US
Phone (404) 431-4853
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number CHIR008042
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According to our database, Vitality Sports Chiropractic NPI is 1801054416, taxonomy code is 111N00000X and license number is CHIR008042, license state is located at Georgia. Vitality Sports Chiropractic physically located at 255 Norcross St, Roswell GA, 30075-3865. NPI Number 1033115704 has the healthcare provider type.

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1801054416 NPI number is provided on an as is basis without warranty of any kind. 1801054416 is maintained by the National Plan & Provider Enumeration System. The contents of Vitality Sports Chiropractic are for informational purposes only.