Randall James Dishaw D.C.

NPI 1023148061 - Chiropractor - 111N00000X

NPI Details
NPI 1023148061
Gender Male
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
270 HAWTHORNE AVE
ATHENS GA, 30606-2881, US
Phone (706) 353-7779
Fax
Business Location
171 PINECREST TER
ATHENS GA, 30606-2447, US
Phone (706) 613-1125
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number 1986
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According to our database, Dr. Randall James Dishaw D.C. NPI is 1023148061, taxonomy code is 111N00000X and license number is 1986, license state is located at Georgia. Randall James Dishaw D.C. physically located at 270 Hawthorne Ave, Athens GA, 30606-2881. NPI Number Randall James Dishaw D.C. has the Individual type.

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1023148061 NPI number is provided on an as is basis without warranty of any kind. 1023148061 is maintained by the National Plan & Provider Enumeration System. The contents of Randall James Dishaw D.C. are for informational purposes only.