Provider Demographics
NPI:1659416121
Name:FELTEN, LAURIE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:MARIE
Last Name:FELTEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4450 NELSON BROGDON BLVD
Mailing Address - Street 2:SUITE D1
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-3447
Mailing Address - Country:US
Mailing Address - Phone:770-932-9998
Mailing Address - Fax:770-932-8840
Practice Address - Street 1:4450 NELSON BROGDON BLVD
Practice Address - Street 2:SUITE D1
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-3447
Practice Address - Country:US
Practice Address - Phone:770-932-9998
Practice Address - Fax:770-932-8840
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor