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NPI Code Detail

MEDICARE: KILPATRICK CHIRO LLC

MEDICARE: KILPATRICK CHIRO LLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1245874833
Entity Type Code : Organization
Provider Name (Legal Business Name) : KILPATRICK CHIRO LLC
Provider Business Mailing Address
First Line : 1715 HOWELL MILL RD NW STE C12
Second Line :
City : ATLANTA
State : GA
Zip : 30318-3117
Country : US
Telephone Number : 404-350-8000
Fax Number : 404-350-8072
Provider Business Practice Location Address
First Line : 1715 HOWELL MILL RD NW STE C12
Second Line :
City : ATLANTA
State : GA
Zip : 30318-3117
Country : US
Telephone Number : 404-350-8000
Fax Number : 404-350-8072
Authorized Official
Title or Position : OWNER
Name : GERALD KILPATRICK
Credential : DC
Telephone Number : 404-350-8000
Provider Enumeration Date : 11/06/2019
Last Update Date : 11/06/2019

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Directions to “KILPATRICK CHIRO LLC ” Practice Location

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