Individual
DR. HAYLEY GRACE PENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2121 LAKE PARK DR SE APT G, SMYRNA, GA 30080-8951
(404) 981-0022
Mailing address
2121 LAKE PARK DR SE APT G, SMYRNA, GA 30080-8951
(404) 981-0022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010321
GA
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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