Individual
SHAKIRA N LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4411 SUWANEE DAM RD STE 635, SUWANEE, GA 30024-8708
(770) 765-3884
Mailing address
2305 HACKAMORE DR, ATLANTA, GA 30349-4384
(770) 765-3884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO09597
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIRO07597
NONE
GA
Enumeration date
03/11/2016
Last updated
08/25/2020
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