Lilburn Sports Chiropractic Youth Rejuvenation, LLC

NPI #1588441570 in Lilburn, Georgia

Provider Information

NPI Number: 1588441570
Entity Type: Organization
Organization Name: Lilburn Sports Chiropractic Youth Rejuvenation, LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 12, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 3035 FIVE FORKS TRICKUM RD SW STE 7
City: Lilburn
State: Georgia
ZIP Code: 30047-1874
Phone: (770) 985-5223

Authorized Official

Name: DR. ROBERT R PRUNI, D.C.
Title: OWNER
Phone: (404) 861-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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