Provider Demographics
NPI:1033340351
Name:YAJIMA, YOSHIRO (DC)
Entity Type:Individual
Prefix:
First Name:YOSHIRO
Middle Name:
Last Name:YAJIMA
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 1:5000 WINTERS CHAPEL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30360-1746
Mailing Address - Country:US
Mailing Address - Phone:678-855-6611
Mailing Address - Fax:
Practice Address - Street 1:5000 WINTERS CHAPEL RD STE 1
Practice Address - Street 2:
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30360-1746
Practice Address - Country:US
Practice Address - Phone:678-855-6611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008506111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition