Individual
DR. CHARLES CHRISTOPHER JAKUBCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5745 WENDY BAGWELL PKWY, SUITE 26, HIRAM, GA 30141-2815
(678) 384-1550
Mailing address
5745 WENDY BAGWELL PKWY, SUITE 26, HIRAM, GA 30141-2815
(678) 384-1550
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007420
GA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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