Provider Demographics
NPI:1851985147
Name:GAULDEN, ALISHA (DC)
Entity Type:Individual
Prefix:DR
First Name:ALISHA
Middle Name:
Last Name:GAULDEN
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 1:1000 WHITLOCK AVE NW STE 320
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-5449
Mailing Address - Country:US
Mailing Address - Phone:504-345-7231
Mailing Address - Fax:
Practice Address - Street 1:925 WHITLOCK AVE SW APT 1309
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-1979
Practice Address - Country:US
Practice Address - Phone:504-345-7231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHRI010425111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner