Provider Demographics
NPI:1427280247
Name:GAY, ANNA MARCELLE KINSEY (DC)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MARCELLE KINSEY
Last Name:GAY
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 1:503 N PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31601-4607
Mailing Address - Country:US
Mailing Address - Phone:229-244-2045
Mailing Address - Fax:
Practice Address - Street 1:503 N PATTERSON ST
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31601-4607
Practice Address - Country:US
Practice Address - Phone:229-244-2045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-12
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor