Provider Demographics
NPI:1073235560
Name:DUNGEY, JOAN (DC)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:DUNGEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 HONEYBEE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-5247
Mailing Address - Country:US
Mailing Address - Phone:702-721-3594
Mailing Address - Fax:
Practice Address - Street 1:2107 HONEYBEE CREEK DR
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-5247
Practice Address - Country:US
Practice Address - Phone:702-721-3594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty