Provider Demographics
NPI:1174290183
Name:ORTEGA, NATALIA (DC)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:NATALIA
Other - Middle Name:
Other - Last Name:SCOVILLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:147 CHADDS VW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-7924
Mailing Address - Country:US
Mailing Address - Phone:404-861-1486
Mailing Address - Fax:
Practice Address - Street 1:2690 BUFORD HWY NE STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-5453
Practice Address - Country:US
Practice Address - Phone:404-869-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010602111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation