Provider Demographics
NPI:1740346592
Name:DINOFF, LEE FRANKIE (DC)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:FRANKIE
Last Name:DINOFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-3332
Mailing Address - Country:US
Mailing Address - Phone:770-467-8144
Mailing Address - Fax:678-603-1102
Practice Address - Street 1:128 N 5TH ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-3332
Practice Address - Country:US
Practice Address - Phone:770-467-8144
Practice Address - Fax:678-603-1102
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA582575688001OtherBCBS
GA117768Medicare ID - Type Unspecified
GA582575688001OtherBCBS