Provider Demographics
NPI:1376567453
Name:LINKHORN, ASHLI ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHLI
Middle Name:ELIZABETH
Last Name:LINKHORN
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 1:1000 CONCORD RD SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4206
Mailing Address - Country:US
Mailing Address - Phone:770-438-8990
Mailing Address - Fax:770-438-0615
Practice Address - Street 1:1000 CONCORD RD SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4206
Practice Address - Country:US
Practice Address - Phone:770-438-8990
Practice Address - Fax:770-438-0615
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007796111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA697260OtherA.C.N.
V08768Medicare UPIN
GA697260OtherA.C.N.