Individual
DR. CHANELLE A POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2347 BROCKETT RD, TUCKER, GA 30084-4474
(770) 938-4606
Mailing address
2347 BROCKETT RD, TUCKER, GA 30084-4474
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009361
GA
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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