Henry Q Phung
Chiropractor Rehabilitation Chiropractor
7913 Chadwick Ln
Riverdale
, Georgia 30274-6716
Henry Q Phung
Chiropractor Rehabilitation Chiropractor
7913 Chadwick Ln
Riverdale
, Georgia 30274-6716
(678) 479-1317
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About
Features
Specialties
- Chiropractor
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Henry Q Phung
- 7913 Chadwick Ln
- Riverdale, GA
- Zip : 30274-6716
- Fax : (678) 479-1317
- Phone : (678) 469-8641
Second Address
- Henry Q Phung
- 7913 Chadwick Ln
- Riverdale, GA
- Zip : 30274-6716
- Fax : (678) 479-1317
- Phone : (678) 469-8641
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008288 | GA |
| N | 111NR0400X | Rehabilitation Chiropractor | CHIR008288 | GA |
National Provider Identifier
| NPI | 1093995813 |
|---|---|
| Provider Name | Henry Q Phung |
| First Address | Riverdale, GA 30274-6716 |
| Second Address | Riverdale, GA 30274-6716 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2007 |
| Last Update Date | 08/11/2007 |
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.