Individual provider · Type 1 NPI
Monica Doretha Blair, DC
Chiropractor · Lithonia, GA
NPI number
1578863379
Active
Practice location
1869 Stone Mountain Lithonia Rd, Suite E
Lithonia, GA 30058-3531
Mailing address
4123 Highland Parc Pl SE
Marietta, GA 30067-2407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR008356 (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 1578863379
Monica Doretha Blair, DC's National Provider Identifier is 1578863379, issued on Oct 26, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lithonia, GA. The record was last updated on Oct 26, 2010.