Provider Demographics
NPI:1235778226
Name:WARD, LARONDA (DC)
Entity Type:Individual
Prefix:DR
First Name:LARONDA
Middle Name:
Last Name:WARD
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 1:1937 WHITEHALL FOREST CT SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-4854
Mailing Address - Country:US
Mailing Address - Phone:404-451-7222
Mailing Address - Fax:
Practice Address - Street 1:1982 MAIN ST E
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6461
Practice Address - Country:US
Practice Address - Phone:770-979-5125
Practice Address - Fax:770-979-5155
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-23
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010308111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor