Individual
YOLANDA CAMACHO KORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2302 MACY DR, ROSWELL, GA 30076-6342
(678) 977-6835
(770) 667-8177
Mailing address
2302 MACY DR, ROSWELL, GA 30076-6342
(678) 977-6835
(770) 667-8177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10879
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIRO10879
GEORGIA SECRETARY OF STATE
GA
Enumeration date
11/04/2022
Last updated
11/04/2022
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