Individual
KELLY A MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5101 OLD HIGHWAY 5 STE 1, WOODSTOCK, GA 30188
(678) 494-6735
(678) 494-6737
Mailing address
321 DUNESBURY LN, CANTON, GA 30115-4159
(678) 494-6735
(678) 494-6737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007118
GA
Other
Enumeration date
09/21/2006
Last updated
09/07/2016
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