Individual
MRS. LATRISHA EVON MCCAULEY, DC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, DC
Contact information
Practice address
506 PENTWORTH CT, KENNESAW, GA 30144
(334) 618-8451
Mailing address
506 PENTWORTH CT, KENNESAW, GA 30144
(334) 618-8451
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C1627A
AL
111N00000X
Chiropractor
Primary
CHIR010064
GA
Other
Enumeration date
09/15/2009
Last updated
05/17/2019
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