Individual
DR. TANIA A. KLUBENSPIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2375 WALL ST SE STE 135, CONYERS, GA 30013
(678) 878-0464
Mailing address
2490 KINGS PISTOL CT, GRAYSON, GA 30017-1464
(678) 878-0464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008610
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
N/A
—
Enumeration date
03/01/2010
Last updated
07/12/2018
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