Individual
DR. LISA MARIE GILLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
323 NORTH MAIN STREET, ADAIRSVILLE, GA 30103-2906
(770) 773-9997
(770) 773-9995
Mailing address
323 N MAIN ST, ADAIRSVILLE, GA 30103-2438
(770) 773-9997
(770) 773-9995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6701
GA
Other
Enumeration date
03/22/2007
Last updated
04/26/2012
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