DR. CHANELLE A POULIN D.C. - NPI 1386093524 - Chiropractor in Tucker, GA

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Dr. Chanelle A Poulin D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHANELLE A POULIN D.C. (NPI 1386093524) is an individual chiropractor in Tucker, Georgia, licensed in Georgia (CHIR009361) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1386093524

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. CHANELLE A POULINCredential: D.C.

Location Address2347 BROCKETT RDTucker, GA 30084-4474

Mailing Address2347 Brockett RdTucker, GA 30084-4474

Phone(770) 938-4606

Sole ProprietorNo

Enumeration DateJune 8, 2016

✔ NPI 1386093524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in GA · CHIR009361

Definition

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.

2347 BROCKETT RD, Tucker, GA 30084

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