Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | CHIR009834 | GA |
NPI | 1063951218 |
---|---|
Provider Name | Dr. Amber Chea Greer |
First Address | Marietta, GA 30060-9263 |
Second Address | Marietta, GA 30060-9263 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2017 |
Last Update Date | 21/02/2017 |