Provider Demographics
NPI:1346567641
Name:NUNEZ, JOHN M (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:NUNEZ
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 1:600 GARNETT ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-3200
Mailing Address - Country:US
Mailing Address - Phone:678-926-3852
Mailing Address - Fax:678-926-3852
Practice Address - Street 1:600 GARNETT ST STE 1
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-3200
Practice Address - Country:US
Practice Address - Phone:678-926-3852
Practice Address - Fax:678-926-3852
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008791111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor