NPI 1023300704

Jack Boyles, DC

Practitioner Chiropractor Roswell, GA

Practice location

Address: 455 W Crossville Rd, Roswell, GA 30075-2503
Phone: (770) 518-7700

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 005125 (GA)

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Registry record

NPI: 1023300704
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2011
Record last updated: 12 May 2011

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.