Provider Demographics
NPI:1093777823
Name:DUNWOODIE, JOY M (DC)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:M
Last Name:DUNWOODIE
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 1:16765 QUAYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-8107
Mailing Address - Country:US
Mailing Address - Phone:269-208-2649
Mailing Address - Fax:
Practice Address - Street 1:16765 QUAYSIDE DR
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-8107
Practice Address - Country:US
Practice Address - Phone:269-208-2649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6871111N00000X
GACHIR009226111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950A100100OtherBLUE CROSS BLUE SHIELD
MIMI3542Medicare PIN
MIT97168Medicare UPIN