MEDICARE: DR. TIMIKA LASHAUN FRAZIER 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
1	111N00000X	Chiropractor	1344	MS

General Provider Information

NPI Number	:	1972851152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMIKA LASHAUN FRAZIER D.C.

Provider Business Mailing Address
First Line	:	4377 REDWOOD CIR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39212-3636
Country	:	US
Telephone Number	:	601-291-2597
Fax Number	:

Provider Business Practice Location Address
First Line	:	1712 PENNY LN SE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067-4434
Country	:	US
Telephone Number	:	601-291-2597
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2012
Last Update Date	:	02/01/2023

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