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Individual

KIRK ALAN PUSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1000 WYNGATE PKWY, SUITE 200, WOODSTOCK, GA 30189
(770) 592-1877
(770) 592-1876
Mailing address
1000 WYNGATE PKWY, SUITE 200, WOODSTOCK, GA 30189
(770) 592-1877
(770) 592-1876

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301004794
MI
111N00000X
Chiropractor
Primary
CHIR004770
GA
225100000X
Physical Therapist
PT003266
GA

Other

Enumeration date
03/08/2007
Last updated
11/04/2011
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