NPI 1588441570

Lilburn Sports Chiropractic Youth Rejuvenation, LLC

Organisation Chiropractor Lilburn, GA

Practice location

Address: 3035 Five Forks Trickum Rd SW STE 7, Lilburn, GA 30047-1874
Phone: (770) 985-5223

Authorised official

Name: Robert R Pruni
Title: Owner
Phone: (404) 861-1400

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1588441570
Entity type: Organization
NPI issued: 12 Sep 2023
Record last updated: 12 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.