Organization
SELF ACTUALIZATION KINESIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD LINDSEY FREY DC (PRESIDENT)
(404) 261-7504
Entity
Organization
Contact information
Practice address
455 EAST PACES FERRY ROAD, 325, ATLANTA, GA 30305
(404) 261-7504
(404) 477-3291
Mailing address
455 EAST PACES FERRY ROAD, 325, ATLANTA, GA 30305
(404) 261-7504
(404) 477-3291
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2831
GA
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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