DR. Khamis Wajdi Ibrahim, D.C.

NPI #1205955549 in Lithonia, Georgia

Provider Information

NPI Number: 1205955549
Entity Type: Individual
Name: DR. Khamis Wajdi Ibrahim, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Mar 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3081 STONE MOUNTAIN ST
City: Lithonia
State: Georgia
ZIP Code: 30058-4426
Phone: (770) 482-1114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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