Provider Demographics
NPI:1497110779
Name:GADDY, JOI (DC)
Entity Type:Individual
Prefix:
First Name:JOI
Middle Name:
Last Name:GADDY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JOI
Other - Middle Name:GADDY
Other - Last Name:EGBUNIWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:8599 HAYSHED LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2614
Mailing Address - Country:US
Mailing Address - Phone:443-286-7270
Mailing Address - Fax:
Practice Address - Street 1:8955 GUILFORD RD STE 140
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2394
Practice Address - Country:US
Practice Address - Phone:443-542-2480
Practice Address - Fax:443-296-6707
Is Sole Proprietor?:No
Enumeration Date:2015-12-30
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104-557699111N00000X
MDS03862111NN1001X, 111NP0017X, 111NR0400X, 111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician