Edith Mobolade
Rehabilitation Chiropractor
981 Concord Rd Se
Smyrna
, Georgia 30080-4267
Edith Mobolade
Rehabilitation Chiropractor
981 Concord Rd Se
Smyrna
, Georgia 30080-4267
(770) 590-9765
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Edith Mobolade
- 2381 Scotney Castle Ln
- Powder Springs, GA
- Zip : 30127-5904
- Fax : (770) 590-9765
- Phone : (770) 778-0088
Second Address
- Edith Mobolade
- 981 Concord Rd Se
- Smyrna, GA
- Zip : 30080-4267
- Fax : (770) 319-6377
- Phone : (770) 778-0088
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | CHIR007498 | GA |
National Provider Identifier
| NPI | 1245365477 |
|---|---|
| Provider Name | Edith Mobolade |
| First Address | Powder Springs, GA 30127-5904 |
| Second Address | Smyrna, GA 30080-4267 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V08365 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.