Provider Demographics
NPI:1275869182
Name:VALENTE, AMY ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ELIZABETH
Last Name:VALENTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3451 COBB PKWY NW STE 6
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-4000
Mailing Address - Country:US
Mailing Address - Phone:678-574-5678
Mailing Address - Fax:678-574-5605
Practice Address - Street 1:3451 COBB PKWY NW STE 6
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-4000
Practice Address - Country:US
Practice Address - Phone:678-574-5678
Practice Address - Fax:678-574-5605
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA111NR0400X111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor