Provider Demographics
NPI:1316053234
Name:DUNN, JOSEPH MATHEW (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MATHEW
Last Name:DUNN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:MATHEW
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS, DC
Mailing Address - Street 1:8879 DALLAS ACWORTH HWY
Mailing Address - Street 2:SUITE # 120
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-7905
Mailing Address - Country:US
Mailing Address - Phone:678-574-3502
Mailing Address - Fax:678-574-3586
Practice Address - Street 1:8879 DALLAS ACWORTH HWY
Practice Address - Street 2:SUITE # 120
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132
Practice Address - Country:US
Practice Address - Phone:678-574-3502
Practice Address - Fax:678-574-3586
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005890111N00000X
DEF1-0000611111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor