Rickey L. Allen, DC
Individual provider Active NPI Chiropractor · Powder Springs, GA
NPI 1114077682 · NPPES record last updated Mar 9, 2012
Key facts
- NPI
- 1114077682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIRO005030 (GA)
- Practice address
- 1050 Richard D. Sailors Pkwy
St 200
Powder Springs, GA 30127-5228 - Phone
- (770) 943-8409
- Fax
- (770) 943-8410
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO005030 | GA | MD | Chiropractor |
| 5030 | GA | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5030 | GA | |
| Chiropractor | 111N00000X | CHIRO005030 | GA | Yes |
Addresses
Primary practice location
1050 Richard D. Sailors Pkwy
St 200
Powder Springs, GA 30127-5228
Mailing address
1050 Richard D. Sailors Pkwy
Ste 200
Powder Springs, GA 30127-5228
Phone (770) 943-8409
Other providers in Powder Springs, GA
- Ald Success Network, Inc. Dba: Empowered Harmony Counseling, Psychiatry & Wellness Center
- Bezawit D Alexander
- Elizabeth A Aliaga
- Asantewa Allen
- Elsie Allen
- Tyree Devonte' Allen
- Allied Ankle & Footcare Centers PC
- Allied Nurse Solutions and Case Management LLC
- Allison Arbelaez, LLC
- Allternative Healthcare LLC
All providers in Powder Springs, GA · Chiropractor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.