Provider Demographics
NPI:1336265784
Name:RABAH, WAJIH (DC)
Entity type:Individual
Prefix:DR
First Name:WAJIH
Middle Name:
Last Name:RABAH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2021 N DRUID HILLS RD NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-1808
Mailing Address - Country:US
Mailing Address - Phone:404-325-0080
Mailing Address - Fax:404-325-0085
Practice Address - Street 1:100 W WALNUT AVE
Practice Address - Street 2:SUITE 60
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8402
Practice Address - Country:US
Practice Address - Phone:706-272-0880
Practice Address - Fax:706-272-0899
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor