Provider Demographics
NPI:1699873026
Name:HOLUBITSKY, GEORGE TODD (DC)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:TODD
Last Name:HOLUBITSKY
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 1:131 MECHANIC ST
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-1337
Mailing Address - Country:US
Mailing Address - Phone:706-864-5362
Mailing Address - Fax:
Practice Address - Street 1:131 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-1337
Practice Address - Country:US
Practice Address - Phone:706-864-5362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO 002814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000488276AMedicaid
GA000488276AMedicaid
35ZCHZSMedicare ID - Type Unspecified