Provider Demographics
NPI:1831713684
Name:BARCLAY, ASIA (DC)
Entity type:Individual
Prefix:
First Name:ASIA
Middle Name:
Last Name:BARCLAY
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 1:6855 FOXFIRE PL
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-1384
Mailing Address - Country:US
Mailing Address - Phone:678-596-7632
Mailing Address - Fax:
Practice Address - Street 1:6855 FOXFIRE PL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-1384
Practice Address - Country:US
Practice Address - Phone:678-596-7632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-07
Last Update Date:2020-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor