Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 10019 | FL |
N | 111N00000X | Chiropractor | 29781 | CA |
N | 111N00000X | Chiropractor | CHIR007616 | GA |
N | 111NN0400X | Neurology | 007616 | GA |
Y | 111NN0400X | Neurology | 10019 | FL |
N | 111NN0400X | Neurology | 29781 | CA |
NPI | 1093798688 |
---|---|
Provider Name | Dr. Adam David Toulon |
First Address | Marietta, GA 30067 |
Second Address | Marietta, GA 30067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 20/10/2010 |