Provider Demographics
NPI:1598332934
Name:THOMAS, ORI ADAR (DC)
Entity Type:Individual
Prefix:MRS
First Name:ORI
Middle Name:ADAR
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:ORI
Other - Middle Name:
Other - Last Name:ADAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:130 LOG CABIN RD NE UNIT B
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-0918
Mailing Address - Country:US
Mailing Address - Phone:478-457-0003
Mailing Address - Fax:478-457-0053
Practice Address - Street 1:130 LOG CABIN RD NE UNIT B
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-0918
Practice Address - Country:US
Practice Address - Phone:478-457-0003
Practice Address - Fax:478-457-0053
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010532111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor