Fortin Chiropractic & Athletic Health Care Center

NPI 1184730608 - Chiropractor - 111N00000X

NPI Details
NPI 1184730608
Enumeration Date 08/21/2006
Last Updated 04/08/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DANIEL P. DANIEL
Position CEO
Phone (770) 760-0060
Fax (770) 760-0409
Practice Location
1003 E FREEWAY DR SE
CONYERS GA, 30094-5927, US
Phone (770) 760-0060
Fax (770) 760-0409
Business Location
1003 E FREEWAY DR SE
CONYERS GA, 30094-5927, US
Phone (770) 760-0060
Fax (770) 760-0409
Toxanomy
Taxonomy Code 111N00000X
License State Georgia
License Number 1411
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According to our database, Fortin Chiropractic & Athletic Health Care Center NPI is 1184730608, taxonomy code is 111N00000X and license number is 1411, license state is located at Georgia. Fortin Chiropractic & Athletic Health Care Center physically located at 1003 E Freeway Dr Se, Conyers GA, 30094-5927. NPI Number 1033115704 has the healthcare provider type.

1184730608 NPI number is provided on an as is basis without warranty of any kind. 1184730608 is maintained by the National Plan & Provider Enumeration System. The contents of Fortin Chiropractic & Athletic Health Care Center are for informational purposes only.