Individual
DR. BRANDI NICOLE CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4695 N CHURCH LN SE, APT. 11205, SMYRNA, GA 30080-7045
(678) 891-2611
Mailing address
4695 N CHURCH LN SE, APT. 11205, SMYRNA, GA 30080-7045
(678) 891-2611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008413
GA
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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