Provider Demographics
NPI:1134517147
Name:GATELL, JOHN PETER (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PETER
Last Name:GATELL
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 1:11130 STATE BRIDGE RD STE C102
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-2640
Mailing Address - Country:US
Mailing Address - Phone:678-403-2121
Mailing Address - Fax:
Practice Address - Street 1:11130 STATE BRIDGE RD STE C102
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-2640
Practice Address - Country:US
Practice Address - Phone:678-403-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-27
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009257111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor