Individual
DR. NICHOLAS DWAYNE CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5009 ROSWELL RD STE 201, ATLANTA, GA 30342-2205
(404) 264-9553
(404) 420-2939
Mailing address
10945 STATE BRIDGE RD, SUITE 401-160, ALPHARETTA, GA 30022-8164
(404) 316-1190
(404) 420-2939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008621
GA
Other
Enumeration date
05/31/2011
Last updated
11/27/2024
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