Provider Demographics
NPI:1568291771
Name:JARVIE, WILLIAM COLTON (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:COLTON
Last Name:JARVIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 HIGHLAND AVE NE STE C
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-4223
Mailing Address - Country:US
Mailing Address - Phone:770-525-6330
Mailing Address - Fax:
Practice Address - Street 1:629 HIGHLAND AVE NE STE C
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-4223
Practice Address - Country:US
Practice Address - Phone:770-525-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor