Provider Demographics
NPI:1134694045
Name:HOWARD, DARNELL JR (DC)
Entity Type:Individual
Prefix:DR
First Name:DARNELL
Middle Name:
Last Name:HOWARD
Suffix:JR
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 1:800 OLD ROSWELL LAKES PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-1691
Mailing Address - Country:US
Mailing Address - Phone:404-507-2917
Mailing Address - Fax:
Practice Address - Street 1:800 OLD ROSWELL LAKES PKWY STE 120
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-1691
Practice Address - Country:US
Practice Address - Phone:404-507-2917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-06
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009973111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor