Provider Demographics
NPI:1003293945
Name:RITOLA, JOSEPH L (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:L
Last Name:RITOLA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4011 GA HIGHWAY 40 E
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-4067
Mailing Address - Country:US
Mailing Address - Phone:404-729-7496
Mailing Address - Fax:
Practice Address - Street 1:4011 GA HIGHWAY 40 E
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-4067
Practice Address - Country:US
Practice Address - Phone:912-882-3323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-29
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33074111N00000X
TX14194111N00000X
GACHIR009883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14194OtherTEXAS BOARD OF CHIROPRACTIC