| Dr Kimdi Joy Fair, DC | |
|
110 Evans Mill Dr, Suite 105, Dallas, GA 30157-1622 | |
| (770) 485-6955 | |
| Not Available |
| Full Name | Dr Kimdi Joy Fair |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 110 Evans Mill Dr, Dallas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316376890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIRO07494 (Georgia) | Primary |
| Provider Name | Back In Line Systems Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346572328 PECOS PAC ID: 7315236304 Enrollment ID: O20160513001815 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimdi Joy Fair, DC 89 Lighthouse Dr, Dallas, GA 30132-1026 Ph: (678) 770-0818 | Dr Kimdi Joy Fair, DC 110 Evans Mill Dr, Suite 105, Dallas, GA 30157-1622 Ph: (770) 485-6955 |
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