Individual provider · Type 1 NPI
Henry Q. Phung, DC
Chiropractor · Riverdale, GA
NPI number
1093995813
Active
Practice location
7913 Chadwick Ln
Riverdale, GA 30274-6716
Fax (678) 479-1317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR008288 (GA) |
| Rehabilitation Chiropractor | 111NR0400X | CHIR008288 (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 1093995813
Henry Q. Phung, DC's National Provider Identifier is 1093995813, issued on Nov 8, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Riverdale, GA. The record was last updated on Nov 8, 2007.