Organization

Michelle Klos D.C. Inc.

May also be knows as Southside Spinal Center

Clinic/Center in Mcdonough, GA(View on Map)

Legal Business Name

Michelle Klos D.C. Inc.

Also Known As

Southside Spinal Center

NPI Number

1760717573

NPI Type

Organization

Enumeration Date

10/12/2009

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

CHIROO8486

Contact
Information

Purpose

Mailing
Location

Address

604 PEBBLE RD
386 RACETRACK RD

City

Canton
Mcdonough

State

GA
GA

Postal Code

30114-8867
30252-1022

Country

US
US

Telephone Number

(678) 697-9667
(678) 583-2982

Authorized Official

Name

Dr. Michelle Monasterski-klos

Title or Position

CHIROPRACTOR/OWNER

Telephone Number

(678) 583-2982

Identifiers

Identifier

202G35640

Identifier State

GA

Identifier Issuer

MEDICARE OFFICE #

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/06/2010

Provider Address

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