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DR. JERED MICHAEL HULL DC ATC LAT NPI 1841439304


NPI Information

NPI: 1841439304
Provider Name: DR. JERED MICHAEL HULL, DC, ATC, LAT
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
3400 BLUE SPRINGS RD NW STE 100
KENNESAW, GA
ZIP 30144
Phone: (678) 707-9002
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DR. Jered Michael Hull, DC, ATC, LAT is a chiropractor in Kennesaw, GA with 12 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. DR. Jered Michael Hull, DC, ATC, LAT NPI is 1841439304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE
Graduation Year:2012

The provider's business location address is:

3400 BLUE SPRINGS RD NW STE 100
KENNESAW, GA
ZIP 30144-079
Phone: (678) 707-9002

The enumeration date for this NPI number is 2/6/2009 and was last updated on 8/15/2012.


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
12255A2300XSpecialist/TechnologistAthletic TrainerAT001496GEORGIANo
2111N00000XChiropractorCHIR009034GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CHIR009034OTHERGEORGIASTATE LICENSING BOARD

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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