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Individual

DR. AMY O KITCHING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2 ED MOORE CT, STATESBORO, GA 30458-6027
(912) 243-9200
(912) 243-9207
Mailing address
2 ED MOORE CT, STATESBORO, GA 30458-5024
(912) 243-9200
(912) 243-9207

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005242
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00883748A
GA
Enumeration date
10/25/2006
Last updated
02/11/2014
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