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NPI Code Detail

MEDICARE: DR. JOHN ROBERT DULL D.C.

MEDICARE:  DR. JOHN ROBERT DULL  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCHIR001759GA

General Provider Information

NPI Number : 1710019021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN ROBERT DULL D.C.
Provider Business Mailing Address
First Line : 4144 CLAIRMONT RD
Second Line :
City : CHAMBLEE
State : GA
Zip : 30341-3237
Country : US
Telephone Number : 678-205-1223
Fax Number : 678-205-1224
Provider Business Practice Location Address
First Line : 4144 CLAIRMONT RD
Second Line :
City : CHAMBLEE
State : GA
Zip : 30341-3237
Country : US
Telephone Number : 678-205-1223
Fax Number : 678-205-1224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN ROBERT DULL D.C.” Practice Location

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