Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIR009547 | GA |
NPI | 1003291782 |
---|---|
Provider Name | Ashley Crittendon |
First Address | Manchester, GA 31816-0307 |
Second Address | Manchester, GA 31816-2114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2015 |
Last Update Date | 24/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CHIR009547 | LICENSE (01) | GA |