Individual
KRISTINA NOEL BACKENSTOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3335 COBB PKWY NW STE 230, ACWORTH, GA 30101-8361
(678) 594-3119
Mailing address
3335 COBB PKWY NW STE 230, ACWORTH, GA 30101-8361
(678) 594-3119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008896
GA
111NN1001X
Nutrition Chiropractor
CHIR008896
GA
Other
Enumeration date
02/22/2012
Last updated
09/15/2021
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