Provider Demographics
NPI:1073640173
Name:ROOPNARINE, COLIN A (DC)
Entity Type:Individual
Prefix:DR
First Name:COLIN
Middle Name:A
Last Name:ROOPNARINE
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 1:3180 N POINT PKWY
Mailing Address - Street 2:STE 101
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4248
Mailing Address - Country:US
Mailing Address - Phone:770-993-4464
Mailing Address - Fax:770-993-4221
Practice Address - Street 1:3180 NORTH POINT PKWY
Practice Address - Street 2:STE 101
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:770-993-4464
Practice Address - Fax:770-993-4221
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005367111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCCRMedicare ID - Type Unspecified