Provider Demographics
NPI:1164582292
Name:ESPINOZA, DAVID JOSE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOSE
Last Name:ESPINOZA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3106 BUTLER CREEK RD NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-3330
Mailing Address - Country:US
Mailing Address - Phone:678-231-5626
Mailing Address - Fax:
Practice Address - Street 1:1355 TERRELL MILL RD SE
Practice Address - Street 2:BLDG 1474, SUITE 100
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-5496
Practice Address - Country:US
Practice Address - Phone:770-226-8505
Practice Address - Fax:770-226-8851
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor