Individual
NEDA NORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
651 INDIAN TRAIL LILBURN RD NW, LILBURN, GA 30047-6838
(770) 925-0088
Mailing address
651 INDIAN TRAIL LILBURN RD NW, LILBURN, GA 30047-6838
(517) 402-9662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009686
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIR009686
STATE LICENSE
GA
Enumeration date
10/04/2016
Last updated
07/13/2024
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