Individual provider · Type 1 NPI
Jerome Joseph Rerucha, DC
Chiropractor · Duluth, GA
NPI number
1225265572
Active
Practice location
2642 Gadsen Walk
Duluth, GA 30097-4350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR007549 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1225265572
Jerome Joseph Rerucha, DC's National Provider Identifier is 1225265572, issued on Jun 14, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Duluth, GA. The record was last updated on Jun 14, 2009.