Provider Demographics
NPI:1841470929
Name:BAHHUR, JAMAL (DC)
Entity type:Individual
Prefix:DR
First Name:JAMAL
Middle Name:
Last Name:BAHHUR
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 1:3286 BUCKEYE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4228
Mailing Address - Country:US
Mailing Address - Phone:770-455-4600
Mailing Address - Fax:770-455-7799
Practice Address - Street 1:3286 BUCKEYE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-4228
Practice Address - Country:US
Practice Address - Phone:770-455-4600
Practice Address - Fax:770-455-7799
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor