Individual provider · Type 1 NPI
Jared Roy Simon, DC
Chiropractor · Atlanta, GA
NPI number
1124129416
Active
Practice location
1758 A Century Blvd
Atlanta, GA 30345
Fax (404) 634-1442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIRO005019 (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 1124129416
Jared Roy Simon, DC's National Provider Identifier is 1124129416, issued on Sep 26, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 7, 2011.