Provider Demographics
NPI:1619014347
Name:DADY, LAURIE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:ANN
Last Name:DADY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:999 WHITLOCK AVENUE SUITE #111
Mailing Address - Street 2:THE CENTER FOR HEALTH & HEALING
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064
Mailing Address - Country:US
Mailing Address - Phone:770-590-7771
Mailing Address - Fax:770-590-9997
Practice Address - Street 1:999 WHITLOCK AVENUE SUITE #111
Practice Address - Street 2:THE CENTER FOR HEALTH & HEALING
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064
Practice Address - Country:US
Practice Address - Phone:770-590-7771
Practice Address - Fax:770-590-9997
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO06077111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP5127Medicare ID - Type Unspecified