NPI 1497171177

Ilan Irie

Practitioner Reflexologist Dunwoody, GA

Practice location

Address: 4646 N Shallowford Rd, Dunwoody, GA 30338-6308
Phone: (770) 676-6000
Mailing address: 2828 Chicopee Dr, Doraville, GA 30360-2639

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X

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Registry record

NPI: 1497171177
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2014
Record last updated: 5 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.