Provider Demographics
NPI:1467525253
Name:COHL, WILLIAM JOHN III (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOHN
Last Name:COHL
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4652 LAWRENCEVILLE HWY NW
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-3621
Mailing Address - Country:US
Mailing Address - Phone:770-359-0030
Mailing Address - Fax:770-359-0031
Practice Address - Street 1:4652 LAWRENCEVILLE HWY NW
Practice Address - Street 2:SUITE 102
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-3621
Practice Address - Country:US
Practice Address - Phone:770-359-0030
Practice Address - Fax:770-359-0031
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2010-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GACHIR006953111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor