Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | CHIR009660 | GA |
NPI | 1609225010 |
---|---|
Provider Name | Julie Lovejoy |
First Address | Watkinsville, GA 30677-1935 |
Second Address | Watkinsville, GA 30677-1935 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2016 |
Last Update Date | 07/06/2016 |