Individual provider · Type 1 NPI
Ian Michael Koll
Chiropractor · Atlanta, GA
NPI number
1073129441
Active
Practice location
6100 Lake Forrest Dr Ste 320
Atlanta, GA 30328-3835
Fax (404) 255-4858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR010387 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1073129441
Ian Michael Koll's National Provider Identifier is 1073129441, issued on Sep 21, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Atlanta, GA. The record was last updated on Sep 21, 2020.