Individual
MR. DANIEL BARTLETTE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5646 BRADY DR, STONE MOUNTAIN, GA 30087-3009
(404) 630-0504
Mailing address
5646 BRADY DR, STONE MOUNTAIN, GA 30087-3009
(404) 630-0504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
009679
GA
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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