Provider Demographics
NPI:1497254213
Name:JANCIK, ALLISON M (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:M
Last Name:JANCIK
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 1:1355 TERRELL MILL ROAD SE
Mailing Address - Street 2:BLDG 1474, STE 150
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067
Mailing Address - Country:US
Mailing Address - Phone:931-330-0677
Mailing Address - Fax:
Practice Address - Street 1:1355 TERRELL MILL ROAD SE
Practice Address - Street 2:BLDG 1474, STE 150
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067
Practice Address - Country:US
Practice Address - Phone:931-330-0677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor