Providence Healthcare
Providence Healthcare provides Chiropractor services in Atlanta, Georgia. Licensed in Florida and Georgia. Registered with an NPI since 2007.
- Licensed in
- FL, GA
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
4646 N Shallowford RdAtlanta, GA 30338-6304
Phone: (770) 676-6000
Fax: (770) 392-9805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician (primary) | Taxonomy 207KI0005X (GA) |
|---|---|
| Chiropractor | Taxonomy 111N00000X · Licence CHIR005530 (GA) |
| Acupuncturist | Taxonomy 171100000X · Licence 000186 (FL) |
Record details
| NPI number | 1699895961 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Leach — Office Manager · (770) 676-6000 |
| NPI enumerated | March 30, 2007 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 4646 N Shallowford Rd, Atlanta, GA 30338-6304 |
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