Provider Demographics
NPI:1023205788
Name:ELKINS, LINDA MULLIN (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MULLIN
Last Name:ELKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:E
Other - Last Name:MULLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:4900 IVEY RD.
Mailing Address - Street 2:SUITE 820
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101
Mailing Address - Country:US
Mailing Address - Phone:770-975-9233
Mailing Address - Fax:404-581-5815
Practice Address - Street 1:4900 IVEY RD.
Practice Address - Street 2:SUITE 820
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101
Practice Address - Country:US
Practice Address - Phone:770-975-9233
Practice Address - Fax:404-581-5815
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU61740Medicare UPIN