Organization · Type 2 NPI

Michelle Klos D.c. Inc.

Clinic/Center · Mcdonough, GA

NPI number 1760717573 Active

Practice location

386 Racetrack Rd
Mcdonough, GA 30252-1022

Call (678) 583-2982 Map

Fax (678) 583-2984

Mailing address

604 Pebble Rd
Canton, GA 30114-8867

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XCHIROO8486 (GA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1760717573

Michelle Klos D.c. Inc.'s National Provider Identifier is 1760717573, issued on Oct 12, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Mcdonough, GA. The record was last updated on Sep 6, 2010.