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Dr. Keona Nicole Favis, DC
Chiropractor in Fayetteville, Georgia
NPI 1538839816

Keona Nicole Favis is a Chiropractor based in Riverdale, GA. Keona Nicole Favis practices in Fayetteville, GA and has the professional credentials of DC. The NPI Number for Keona Nicole Favis is 1538839816 and holds a License No. CHIR010589 (Georgia).

The current practice location address for Keona Nicole Favis is 1240 Ga-54, Fayetteville, GA and can be reached out via phone at 678-667-4660. You can also correspond with Keona Nicole Favis through the mailing address at 269 HIGHWAY 138 SW, RIVERDALE, GA - 30274-4000 (mailing address contact number: 318-800-1032).

Location: 1240 Ga-54, Fayetteville, GA, 30274-4000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538839816
Provider Name
Keona Nicole Favis
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1240 Ga-54, Fayetteville, GA, 30274-4000
Phone Number
678-667-4660
Fax Number
Provider Enumeration Date
09/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1240 Ga-54
City
Fayetteville
State
Georgia
Zip
30214-4332
Phone Number
678-667-4660
Fax Number
person
Provider Business Mailing Address Details
Address
1240 Ga-54
City
Fayetteville
State
Georgia
Zip
30214-4332
Phone Number
678-667-4660
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIR010589 (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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