NPI 1659564441

Mdr, INC.

Organisation Chiropractor Lilburn, GA

Practice location

Address: 1001 Oak Rd SW, Lilburn, GA 30047-1891
Phone: (770) 979-3701
Fax: (770) 979-3702

Authorised official

Name: Marshall Rothman
Title: Clinic Director/Owner
Phone: (770) 979-3701

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIR006223 (GA)

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Registry record

NPI: 1659564441
Entity type: Organization
NPI issued: 24 Aug 2007
Record last updated: 24 Aug 2007

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.