Individual
DR. NICHOLAS DWAYNE CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3775 VENTURE DR BLDG K, DULUTH, GA 30096-5102
(678) 878-3149
(404) 420-2939
Mailing address
10945 STATE BRIDGE RD STE 401-160, JOHNS CREEK, 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
07/29/2026
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