Doctor Name: | DR. BRYAN KEITH HOOPER |
NPI Number: | 1508969411 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 6752 |
Business Practice Address: | 1011 Woodridge Lane Building 301 Watkinsville, GA - 306776077 |
Business Phone Number: | 7063101121 |
Business Fax Number: | 7063101165 |
Mailing Address: | 1011 Woodridge Lane, Building 301 WATKINSVILLE |
State: | GA |
Postal Code: | 306776077 |
Phone Number: | 7063101121 |
Fax Number: | 7063101165 |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 6752 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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. |