Full Body Rejuvenetion Center, LLC

NPI #1790945475 in Lithonia, Georgia

Provider Information

NPI Number: 1790945475
Entity Type: Organization
Organization Name: Full Body Rejuvenetion Center, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 16, 2008
Last Updated: Jul 15, 2008

Practice Location

Address: 3636 PANOLA RD
Address 2: SUITE B
City: Lithonia
State: Georgia
ZIP Code: 30038-2733
Phone: (678) 609-1586

Authorized Official

Name: NAILAH SMITH, D.C.
Title: CHIROPRACTOR/OWNER
Phone: (678) 613-4650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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