Tucker Neck and Back, LLC

NPI #1134355779 in Tucker, Georgia

Provider Information

NPI Number
1134355779
Entity Type
Organization
Organization Name
Tucker Neck and Back, LLC
Primary Specialty
Chiropractor - Rehabilitation
Enumeration Date
Jun 10, 2009
Last Updated
Jun 10, 2009

Practice Location

Address
4880 LAWRENCEVILLE HWY
Address 2
SUITE 13
City
Tucker
State
Georgia
ZIP Code
30084-2938
Phone
(770) 621-5585

Authorized Official

Name
DR. TONY L BANGUILAN, D.C.
Title
CEO
Phone
(770) 621-5585

Specialties & Taxonomy Codes

Specialty
Chiropractor - RehabilitationRehabilitation

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