Individual
DR. DEMITRIOUS GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
126 HOLCOMB FERRY RD, ROSWELL, GA 30076-2030
(404) 644-3410
Mailing address
126 HOLCOMB FERRY RD, ROSWELL, GA 30076-2030
(404) 644-3410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
008745
GA
111N00000X
Chiropractor
010359
PA
111NI0013X
Independent Medical Examiner Chiropractor
010359
PA
111NI0013X
Independent Medical Examiner Chiropractor
CHIR008745
GA
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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