Provider Demographics
NPI:1356092738
Name:IULIANO, JOSEPH NICKOLAS (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:NICKOLAS
Last Name:IULIANO
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:PO BOX 49188
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30359-1188
Mailing Address - Country:US
Mailing Address - Phone:404-333-7777
Mailing Address - Fax:
Practice Address - Street 1:3820 PLEASANT HILL RD STE 4
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1429
Practice Address - Country:US
Practice Address - Phone:404-333-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010587111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor