Individual provider · Type 1 NPI

Keith D. Quattlebaum, DC

Chiropractor · Kennesaw, GA

NPI number 1811149016 Active

Practice location

4200 Wade Green Road
Kennesaw, GA 30144

Mailing address

4200 Wade Green Rd NW
Kennesaw, GA 30144-1237

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2169 (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 1811149016

Keith D. Quattlebaum, DC's National Provider Identifier is 1811149016, issued on Oct 21, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kennesaw, GA. The record was last updated on Oct 21, 2008.