NPI age
18 years
Enumerated 2008-01-04
Across 4970 active chiropractor providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NY) | 011521 | NY STATE LISCENCE NUMBER |
| 01 (NY) | C11521-4B | WORKER'S COMPENSATION |
| 01 (IL) | 038.011599 | IL CHIROPRACTIC PHYSICIAN LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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