Individual
DR. KIMBERLY AMELIA MINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
191 E MAIN ST, CANTON, GA 30114-2708
(770) 757-3831
Mailing address
191 E MAIN ST, CANTON, GA 30114-2708
(770) 757-3831
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008433
GA
111NN1001X
Nutrition Chiropractor
CHIR008433
GA
111NP0017X
Pediatric Chiropractor
CHIR008433
GA
111NR0400X
Rehabilitation Chiropractor
CHIR008433
GA
111NS0005X
Sports Physician Chiropractor
CHIR008433
GA
111NX0100X
Occupational Health Chiropractor
CHIR008433
GA
Other
Enumeration date
05/08/2011
Last updated
05/08/2011
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