Provider Demographics
NPI:1215208244
Name:STOKES, AMBER (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:SEABROOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1680 MULKEY RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1118
Mailing Address - Country:US
Mailing Address - Phone:678-360-1817
Mailing Address - Fax:
Practice Address - Street 1:1680 MULKEY RD
Practice Address - Street 2:SUITE G
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1118
Practice Address - Country:US
Practice Address - Phone:678-360-1817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008811111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation