Individual
DR. JERED MICHAEL HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, ATC, LAT
Contact information
Practice address
3400 BLUE SPRINGS RD NW STE 100, KENNESAW, GA 30144-1079
(678) 574-5430
Mailing address
3400 BLUE SPRINGS RD NW STE 100, KENNESAW, GA 30144-1079
(678) 574-5430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009034
GA
2255A2300X
Athletic Trainer
AT001496
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIR009034
STATE LICENSING BOARD
GA
Enumeration date
02/06/2009
Last updated
02/06/2026
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