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Contact Information

MEDICLINIC
355 UPPER RIVERDALE RD
A8
JONESBORO, GA31141
 Phone: 770-876-6972
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MEDICLINIC · (Female)

NPI # 1215270699
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2013
Last updated 04/03/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 007116
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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