Individual
DR. KHAMIS WAJDI IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3081 STONE MOUNTAIN ST, LITHONIA, GA 30058-4426
(770) 482-1114
(770) 484-1206
Mailing address
3081 STONE MOUNTAIN ST, LITHONIA, GA 30058-4426
(770) 482-1114
(770) 484-1206
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH 8106
FL
111N00000X
Chiropractor
Primary
CHIR006698
GA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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