Performance Sport and Spine

NPI #1841798279 in Roswell, Georgia

Provider Information

NPI Number: 1841798279
Entity Type: Organization
Organization Name: Performance Sport and Spine
Primary Specialty: Chiropractor
Enumeration Date: Jan 31, 2018
Last Updated: Jan 31, 2018

Practice Location

Address: 1575 OLD ALABAMA RD STE 105
City: Roswell
State: Georgia
ZIP Code: 30076-2133
Phone: (404) 721-4406

Authorized Official

Name: DR. TIMOTHY MICHAEL GREGORY, DC
Title: CHRIOPRACTOR/OWNER
Phone: (404) 721-4406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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