Individual
DR. DEBORAH ENTWISTLE HEAIRLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3417 CANTON RD, SUITE 301, MARIETTA, GA 30066-2896
(770) 424-5551
(770) 424-5553
Mailing address
3417 CANTON RD, SUITE 301, MARIETTA, GA 30066-2896
(770) 424-5551
(770) 424-5553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004982
GA
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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