Provider Demographics
NPI:1376501320
Name:FURNESS, ALBERT ALAN (DC, PC)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:ALAN
Last Name:FURNESS
Suffix:
Gender:M
Credentials:DC, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 S ENOTA DR NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2453
Mailing Address - Country:US
Mailing Address - Phone:770-531-0353
Mailing Address - Fax:770-531-7794
Practice Address - Street 1:726 S ENOTA DR NE
Practice Address - Street 2:SUITE B
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-2453
Practice Address - Country:US
Practice Address - Phone:770-531-0353
Practice Address - Fax:770-531-7794
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1066111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor