Individual
BLAKE HIMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
460 BRANNON RD STE 101, CUMMING, GA 30041-8977
(770) 573-2777
Mailing address
3421 CASTLEBERRY VILLAGE CIR, CUMMING, GA 30040-2378
(985) 414-3757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1903
LA
111N00000X
Chiropractor
Primary
CHIR010389
GA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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