Individual
DR. INGRID MARIA GIELISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1307 JOHNSON FERRY RD, SUITE 4000, MARIETTA, GA 30068-2733
(770) 509-9717
(770) 509-8796
Mailing address
1307 JOHNSON FERRY RD, SUITE 4000, MARIETTA, GA 30068-2733
(770) 509-9717
(770) 509-8796
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005979
GA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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