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ALPHARETTA BACK & NECK CENTER NPI 1659476703


NPI Information

NPI: 1659476703
Provider Name: ALPHARETTA BACK & NECK CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3502 OLD MILTON PKWY
ALPHARETTA, GA
ZIP 30005
Phone: (678) 879-4242
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ALPHARETTA BACK & NECK CENTER is a chiropractor in Alpharetta, GA. The provider is 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. ALPHARETTA BACK & NECK CENTER NPI is 1659476703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3502 OLD MILTON PKWY
ALPHARETTA, GA
ZIP 30005-458
Phone: (678) 879-4242
Fax: (678) 879-5411

The provider's authorized official is Albert J Divagno .
The authorized official title is Dc/owner and has the following contact phone number (678) 897-4242.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorGA1707GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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