Provider Demographics
NPI:1194903724
Name:PURDON, KERI JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:KERI
Middle Name:JEAN
Last Name:PURDON
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 1:385 WEATHERSTONE PL
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-5705
Mailing Address - Country:US
Mailing Address - Phone:770-442-1206
Mailing Address - Fax:
Practice Address - Street 1:3070 WINDWARD PLZ
Practice Address - Street 2:SUITE K1
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-8771
Practice Address - Country:US
Practice Address - Phone:678-879-9019
Practice Address - Fax:678-879-9021
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor