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Organization
GIDEON CHIROPRACTIC INCORPORATED
Active
Organization
GIDEON CHIROPRACTIC INCORPORATED
Active
Other names
ATLAS INJURY CHIROPRACTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DURIE DELANO HUMBER JR. (OWNER)
(770) 389-4724
Entity
Organization
Contact information
Practice address
165 BURKE ST, SUITE 105, STOCKBRIDGE, GA 30281
(770) 389-4724
(678) 272-4031
Mailing address
165 BURKE ST, SUITE 105, STOCKBRIDGE, GA 30281-3463
(770) 389-4724
(678) 272-4031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005325
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
664098
UHC
GA
Enumeration date
05/31/2007
Last updated
10/12/2007
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