Individual
BRANDI CHRISTINE PHAVORACHITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3105 CREEKSIDE VILLAGE DR NW STE 710, KENNESAW, GA 30144-4218
(678) 996-0373
(404) 320-6073
Mailing address
3105 CREEKSIDE VILLAGE DR NW STE 710, KENNESAW, GA 30144-4218
(678) 996-0373
(404) 320-6073
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010917
GA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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