Provider Demographics
NPI:1073235560
Name:DUNGEY, JOAN (DC)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:DUNGEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W SOLOMON ST STE 140
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-3038
Mailing Address - Country:US
Mailing Address - Phone:470-531-1544
Mailing Address - Fax:
Practice Address - Street 1:315 W SOLOMON ST STE 140
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-3038
Practice Address - Country:US
Practice Address - Phone:470-531-1544
Practice Address - Fax:470-531-1544
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty