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MAGGIE DETRICK DC NPI 1609534171


NPI Information

NPI: 1609534171
Provider Name: MAGGIE DETRICK, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2125 PACE ST
COVINGTON, GA
ZIP 30014
Phone: (770) 786-2818
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Maggie Detrick, DC is a chiropractor in Covington, GA with 3 years of experience. The provider is 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. Maggie Detrick, DC NPI is 1609534171. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:2021

The provider's business location address is:

2125 PACE ST
COVINGTON, GA
ZIP 30014-659
Phone: (770) 786-2818
Fax: (844) 760-0502

The enumeration date for this NPI number is 12/2/2021 and was last updated on 12/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NP0017XChiropractorPediatric Chiropractor010667GEORGIANo
2111N00000XChiropractor010667GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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