Provider Demographics
NPI:1295164606
Name:DRY, RICHARD NEAL (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:NEAL
Last Name:DRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2713 EAGLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-5744
Mailing Address - Country:US
Mailing Address - Phone:678-824-4760
Mailing Address - Fax:678-550-9528
Practice Address - Street 1:4180 PROVIDENCE RD STE 113
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6187
Practice Address - Country:US
Practice Address - Phone:788-244-7606
Practice Address - Fax:678-550-9528
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GACHIR009219111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor