Provider Demographics
NPI:1609910165
Name:FERRICK, LINDA A (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:A
Last Name:FERRICK
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 1:17 ROBERTS WAY SE
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-6873
Mailing Address - Country:US
Mailing Address - Phone:770-324-3032
Mailing Address - Fax:678-574-3310
Practice Address - Street 1:17 ROBERTS WAY SE
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30102-6873
Practice Address - Country:US
Practice Address - Phone:770-324-3032
Practice Address - Fax:678-574-3310
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008077111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor