Provider Demographics
NPI:1952481954
Name:WITTLE, JOHN K (DC, DACBN)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
Last Name:WITTLE
Suffix:
Gender:M
Credentials:DC, DACBN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17A LENOX POINTE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3171
Mailing Address - Country:US
Mailing Address - Phone:404-634-0201
Mailing Address - Fax:
Practice Address - Street 1:17A LENOX POINTE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3171
Practice Address - Country:US
Practice Address - Phone:404-634-0201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6140111NN1001X
NC2916111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition