Individual
DR. RANDEL EVERETTE WHITEHEAD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
418 BRADLEY ST, CARROLLTON, GA 30117-3301
(770) 214-9146
(770) 214-9166
Mailing address
418 BRADLEY ST, CARROLLTON, GA 30117-3301
(770) 214-9146
(770) 214-9166
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009473
GA
Other
Enumeration date
03/18/2015
Last updated
02/16/2016
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