| Ian Michael Koll, | |
|
6100 Lake Forrest Dr Ste 320, Atlanta, GA 30328-3835 | |
| (404) 255-6027 | |
| (404) 255-4858 |
| Full Name | Ian Michael Koll |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 6100 Lake Forrest Dr Ste 320, Atlanta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073129441 | NPI | - | NPPES |
| CHIR010387 | Other | GA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR010387 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Michael Koll, 6100 Lake Forrest Dr Ste 320, Atlanta, GA 30328-3835 Ph: (404) 255-6027 | Ian Michael Koll, 6100 Lake Forrest Dr Ste 320, Atlanta, GA 30328-3835 Ph: (404) 255-6027 |
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