Provider Demographics
NPI:1487672408
Name:HOVEY, JAMES S (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:S
Last Name:HOVEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 OLD ALABAMA RD
Mailing Address - Street 2:SUITE 19
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2400
Mailing Address - Country:US
Mailing Address - Phone:770-587-2663
Mailing Address - Fax:770-587-9110
Practice Address - Street 1:2500 OLD ALABAMA RD
Practice Address - Street 2:SUITE 19
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2400
Practice Address - Country:US
Practice Address - Phone:770-587-2663
Practice Address - Fax:770-587-9110
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GACHIR002039111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCJKMMedicare ID - Type Unspecified
GAT97661Medicare UPIN