Individual provider · Type 1 NPI
Randel Everette Whitehead Jr., DC
Chiropractor · Carrollton, GA
NPI number
1235522004
Active
Practice location
418 Bradley St
Carrollton, GA 30117-3301
Fax (770) 214-9166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR009473 (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 1235522004
Randel Everette Whitehead Jr., DC's National Provider Identifier is 1235522004, issued on Mar 18, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Carrollton, GA. The record was last updated on Feb 16, 2016.