Individual
KEVOREY HARTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 CLEVELAND AVE SW STE 510, ATLANTA, GA 30315-7115
(470) 270-8192
Mailing address
4955 MOOR CT, ELLENWOOD, GA 30294-3702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO010377
GA
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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