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NPI Code Detail

MEDICARE: POOKA ENTERPRISES INC.

MEDICARE: POOKA ENTERPRISES INC.
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
1111N00000XChiropractorCHIR007343GA

General Provider Information

NPI Number : 1780639583
Entity Type Code : Organization
Provider Name (Legal Business Name) : POOKA ENTERPRISES INC.
Provider Business Mailing Address
First Line : 1522 DEKALB AVE NE
Second Line : SUITE B
City : ATLANTA
State : GA
Zip : 30307-2122
Country : US
Telephone Number : 404-377-1032
Fax Number :
Provider Business Practice Location Address
First Line : 1522 DEKALB AVE NE
Second Line : SUITE B
City : ATLANTA
State : GA
Zip : 30307-2122
Country : US
Telephone Number : 404-377-1032
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JANET LYNN YOUNG
Credential : D.C.
Telephone Number : 404-377-1032
Provider Enumeration Date : 05/23/2006
Last Update Date : 08/22/2020

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Directions to “POOKA ENTERPRISES INC. ” Practice Location

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