Phillip Im in Duluth - Chiropractor

Phillip Im - NPI 1174745517

Phillip Im is a Chiropractor in Duluth, Georgia. Phillip Im practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Phillip Im is 1174745517. The last update date is 2022-07-21.

Phillip Im's current location address is 2645 N Berkeley Lake Road, Duluth, Georgia. You can contact this provider via phone number 6785717140 and fax number 4707092187. The mailing address for Phillip Im is 2645 N Berkeley Lake Road, Duluth, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip Im
Address 2645 N Berkeley Lake Road, Duluth, Georgia
Phone Number 6785717140
Fax Number 4707092187
Sole Proprietor Y
Credentials CHIR 00718

NPI Number Detail

NPI Number 1174745517
Provider Enumeration Date 2007-05-03
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 2645 N Berkeley Lake Road
City Duluth
State Georgia (GA)
Post Code 30096
Phone Number 6785717140
Fax Number 4707092187

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CHIR007185
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Phillip Im

What is the unique 10-digit identifier code issued to Phillip Im by the Centers for Medicare & Medicaid Services?

The Phillip Im has been assigned the NPI (National Provider Identifier) 1174745517 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Phillip Im is physically located?

The Phillip Im is situated at the following address: 2645 N Berkeley Lake Road, Duluth, GA 30096.

What is Phillip Im's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Phillip Im is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.

When did Phillip Im receive its 1174745517 assignment?

The Phillip Im was assigned its 1174745517 on 2007-05-03, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Phillip Im, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Phillip Im, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.

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