| Extraordinary Life Chiropractic, Llc | |
|
6822 Glenridge Dr Ne Unit J Sandy Spring GA 30328 | |
| (270) 993-5398 | |
| Not Available |
| Full Name | Extraordinary Life Chiropractic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 6822 Glenridge Dr Ne, Sandy Spring, Georgia |
| Authorized Official Name and Position | Christopher Lynn Perry (PRESIDENT) |
| Authorized Official Contact | 2709935398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extraordinary Life Chiropractic, Llc 6822 Glenridge Dr Ne Unit J Sandy Spring GA 30328 Ph: () - | Extraordinary Life Chiropractic, Llc 6822 Glenridge Dr Ne Unit J Sandy Spring GA 30328 Ph: (270) 993-5398 |
| NPI Number | 1790126266 |
|---|---|
| Provider Enumeration Date | 07/12/2013 |
| Last Update Date | 07/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790126266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CHIR009135 (Georgia) | Primary |