Guwoin Ingram Jr Jr, | |
2210 Holly Springs Pkwy Ste 100, Canton, GA 30115-9013 | |
(770) 562-5446 | |
Not Available |
Full Name | Guwoin Ingram Jr Jr |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2210 Holly Springs Pkwy Ste 100, Canton, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063235679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR011110 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Guwoin Ingram Jr Jr, 2210 Holly Springs Pkwy Ste 100, Canton, GA 30115-9013 Ph: () - | Guwoin Ingram Jr Jr, 2210 Holly Springs Pkwy Ste 100, Canton, GA 30115-9013 Ph: (770) 562-5446 |
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