Individual provider · Type 1 NPI
Samantha Michelle Gillingham, DC
Chiropractor · Fayetteville, GA
NPI number
1497434013
Active
Practice location
1240 Highway 54 W Ste 503
Fayetteville, GA 30214-4561
Mailing address
189 Oak Springs Ln
Dallas, GA 30132-1045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIRO11044 (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.
Another provider at this address
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About NPI 1497434013
Samantha Michelle Gillingham, DC's National Provider Identifier is 1497434013, issued on Jul 12, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fayetteville, GA. The record was last updated on Jul 12, 2023.