Provider Demographics
NPI:1023381704
Name:LI, JINJIANG (DC MS CCSP)
Entity Type:Individual
Prefix:DR
First Name:JINJIANG
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:DC MS CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6110 MCFARLAND STATION DRIVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004
Mailing Address - Country:US
Mailing Address - Phone:670-839-8686
Mailing Address - Fax:670-839-8686
Practice Address - Street 1:6110 MCFARLAND STATION DRIVE
Practice Address - Street 2:SUITE 301
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-6806
Practice Address - Country:US
Practice Address - Phone:470-839-8686
Practice Address - Fax:670-839-8686
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-11
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008932111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician