Organization
GIDEON CHIROPRACTIC INCORPORATED
Active
Other names
ATLAS INJURY CHIROPRACTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DURIE DELANO HUMBER JR. (OWNER)
(770) 389-4724
Entity
Organization
Contact information
Practice address
165 BURKE ST, SUITE 105, STOCKBRIDGE, GA 30281
(770) 389-4724
(678) 272-4031
Mailing address
165 BURKE ST, SUITE 105, STOCKBRIDGE, GA 30281-3463
(770) 389-4724
(678) 272-4031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005325
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
664098
UHC
GA
Enumeration date
05/31/2007
Last updated
10/12/2007
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