Individual
DR. CURTIS ALEXANDER FEDORCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
131 MECHANIC ST, DAHLONEGA, GA 30533-1337
(706) 864-5362
Mailing address
4955 CHEROKEE ROSE CT, CUMMING, GA 30040-1828
(678) 314-9122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO07276
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120530
BCBS GA
GA
05
—
944233617A
—
GA
Enumeration date
09/24/2006
Last updated
08/12/2008
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