Individual
DR. HALIE ELCHOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2911 GEORGE BUSBEE PKWY NW, KENNESAW, GA 30144-6908
(470) 301-1207
Mailing address
PO BOX 440442, KENNESAW, GA 30160-9508
(228) 229-9544
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR010098
GA
111NS0005X
Sports Physician Chiropractor
Primary
CHIR010098
GA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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