Provider Demographics
NPI:1316185689
Name:MOTE, COURTNEY ALAN (BS, DC)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:ALAN
Last Name:MOTE
Suffix:
Gender:M
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 CANNON BRIDGE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CORNELIA
Mailing Address - State:GA
Mailing Address - Zip Code:30531-4700
Mailing Address - Country:US
Mailing Address - Phone:706-778-0077
Mailing Address - Fax:
Practice Address - Street 1:186 CANNON BRIDGE RD
Practice Address - Street 2:SUITE B
Practice Address - City:CORNELIA
Practice Address - State:GA
Practice Address - Zip Code:30531-4700
Practice Address - Country:US
Practice Address - Phone:706-778-0077
Practice Address - Fax:706-778-0565
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008431111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor