Provider Demographics
NPI:1083604607
Name:LINIAL, ANDREW Z JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:Z
Last Name:LINIAL
Suffix:JR
Gender:M
Credentials:DC
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Mailing Address - Street 1:223 COMMERCE DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-8913
Mailing Address - Country:US
Mailing Address - Phone:706-781-6732
Mailing Address - Fax:706-745-3363
Practice Address - Street 1:223 COMMERCE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-8913
Practice Address - Country:US
Practice Address - Phone:706-781-6732
Practice Address - Fax:706-745-3363
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-25
Last Update Date:2024-04-20
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Provider Licenses
StateLicense IDTaxonomies
GAGA2459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00099971OtherRAILROAD RETIREMENT
U22335Medicare UPIN
GA35ZCDMBMedicare ID - Type Unspecified