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Ian Michael Koll
Chiropractor in Atlanta, Georgia
NPI 1073129441

Ian Michael Koll is a Chiropractor based in Atlanta, GA. Ian Michael Koll practices in Atlanta, GA. The NPI Number for Ian Michael Koll is 1073129441 and holds a License No. CHIR010387 (Georgia).

The current practice location address for Ian Michael Koll is 6100 Lake Forrest Dr Ste 320, Atlanta, GA and can be reached out via phone at 404-255-6027 and via fax at 404-255-4858.

Location: 6100 Lake Forrest Dr Ste 320, Atlanta, GA, 30328-3835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073129441
Provider Name
Ian Michael Koll
Credential
Provider Entity Type
Individual
Gender
Male
Address
6100 Lake Forrest Dr Ste 320, Atlanta, GA, 30328-3835
Phone Number
404-255-6027
Fax Number
404-255-4858
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CHIR010387 01 GA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
6100 Lake Forrest Dr Ste 320
City
Atlanta
State
Georgia
Zip
30328-3835
Phone Number
404-255-6027
Fax Number
404-255-4858
person
Provider Business Mailing Address Details
Address
6100 Lake Forrest Dr Ste 320
City
Atlanta
State
Georgia
Zip
30328-3835
Phone Number
404-255-6027
Fax Number
404-255-4858
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIR010387 (Georgia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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