Provider Demographics
NPI:1528346665
Name:SON, JANE S (DC)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:S
Last Name:SON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1325 SATELLITE BLVD NW
Mailing Address - Street 2:SUITE 601
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4651
Mailing Address - Country:US
Mailing Address - Phone:770-817-3399
Mailing Address - Fax:770-817-2555
Practice Address - Street 1:1325 SATELLITE BLVD NW
Practice Address - Street 2:SUITE 601
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4651
Practice Address - Country:US
Practice Address - Phone:770-817-3399
Practice Address - Fax:770-817-2555
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GACHIR007272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty