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DR. MARK DOUGLAS LUELL D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1811037864

Individual Registrant:
DR. MARK DOUGLAS LUELL D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
1344 ROCKBRIDGE RD  STONE MTN, GA 30087-3138 US
Tel: 770-923-8787  Fax: --

Contact information for business:
5150 ISLAND DR  STONE MTN, GA 30087-4248 US
Tel: 770-469-2210  Fax: --

Registration Information:
NPI: 1811037864
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
GA001417

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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