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NPI 1194291021

OrganizationActive

100yeardoc, LLC

NPI 1194291021 · Chiropractor · Marietta, GA

Provider details

NPI number: 1194291021
Entity type: Organization
Primary specialty: ChiropractorChiropractic Providers
Authorized official: Joshua Wilson, Chiropractor

Practice location

1135 S Marietta Pkwy Se

Marietta, GA 30060-2830

Phone: (770) 422-9288

More GA providers

Mailing address

1135 S Marietta Pkwy Se

Marietta, GA 30060-2811

Registry dates

Enumerated: 2018-10-18
Last updated: 2018-10-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

100yeardoc, LLC — NPI 1194291021, Marietta, GA | NPI Central