Khamis Wajdi Ibrahim, D.C.

Chiropractor · Lithonia, GA

Individual Active NPI

NPI number 1205955549

Practice location

3081 Stone Mountain St
Lithonia, GA 30058-4426
Phone
(770) 482-1114
Fax
(770) 484-1206

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NPI record

NPI
1205955549
Entity type
Individual (Type 1)
Enumeration date
March 28, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CHIR006698 GA
Chiropractor 111N00000X CH 8106 FL

About Dr. Ibrahim

Khamis Wajdi Ibrahim, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 3081 Stone Mountain St, Lithonia, GA 30058-4426. The NPI number 1205955549 was assigned on March 28, 2007 and the record was last updated on July 8, 2007.

Dr. Ibrahim lists 2 licenses in the registry: #CHIR006698 (GA) for Chiropractor; #CH 8106 (FL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Khamis Wajdi Ibrahim, D.C.?

The NPI number is 1205955549.

What is the phone number of Dr. Ibrahim?

The phone number listed for the practice location is (770) 482-1114.

Where is Dr. Ibrahim located?

3081 Stone Mountain St, Lithonia, GA 30058-4426.

What is the taxonomy code for Dr. Ibrahim?

The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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