Individual provider · Type 1 NPI

Raven Michelle House-Bourne, DC

Chiropractor · Mcdonough, GA

NPI number 1487372074 Active

Practice location

3512 Highway 155 N Ste A2
Mcdonough, GA 30252-5506

Mailing address

403 Darter Dr NW
Kennesaw, GA 30144-5083

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIR010628 (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 1487372074

Raven Michelle House-Bourne, DC's National Provider Identifier is 1487372074, issued on Aug 18, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mcdonough, GA. The record was last updated on Aug 18, 2022.