Healthcare Provider Details

I. General information

NPI: 1093938227
Provider Name (Legal Business Name): DRS BURNS AND KRUTUL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 11/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HOUZE WAY A4
ROSWELL GA
30076-1435
US

IV. Provider business mailing address

600 HOUZE WAY A4
ROSWELL GA
30076-1435
US

V. Phone/Fax

Practice location:
  • Phone: 770-993-0040
  • Fax: 770-993-3292
Mailing address:
  • Phone: 770-993-0040
  • Fax: 770-993-3292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIE BURNS HUNNICUTT
Title or Position: OWNER
Credential: D.C
Phone: 770-993-0040