Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CHIR008743 | GA |
Y | 111NS0005X | Chiropractic Sports Physician | 4500 | OH |
NPI | 1083915375 |
---|---|
Provider Name | Dr. Amanda Jean Giles |
First Address | Coshocton, OH 43812-1129 |
Second Address | Coshocton, OH 43812-1129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2010 |
Last Update Date | 30/06/2017 |