Individual provider · Type 1 NPI

Khamis Wajdi Ibrahim, DC

Chiropractor · Lithonia, GA

NPI number 1205955549 Active

Practice location

3081 Stone Mountain St
Lithonia, GA 30058-4426

Fax (770) 484-1206

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIR006698 (GA)
Chiropractor 111N00000XCH 8106 (FL)

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.

2 other providers at this address

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About NPI 1205955549

Khamis Wajdi Ibrahim, DC's National Provider Identifier is 1205955549, issued on Mar 28, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lithonia, GA. The record was last updated on Jul 8, 2007.