Individual provider · Type 1 NPI
Phillip Im, CHIR 007185
Chiropractor · Duluth, GA
NPI number
1174745517
Active
Practice location
2645 N Berkeley Lake Rd NW # D-126
Duluth, GA 30096-3002
Fax (470) 709-2187
Mailing address
2645 N Berkeley Lake Road, D-126
Duluth, GA 30096
Other practice locations
- 5312 Buford Hwy NE, B5, Doraville, GA 30340-1152 · (678) 571-7140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR007185 (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 1174745517
Phillip Im, CHIR 007185's National Provider Identifier is 1174745517, issued on May 3, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Duluth, GA. The record was last updated on Jul 21, 2022.