Provider Demographics
NPI:1407532294
Name:MAYSONET NAVARRO, CLAUDE ALEXANDER (DC)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:ALEXANDER
Last Name:MAYSONET NAVARRO
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 1:950 E MAIN ST. APT. 809
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121
Mailing Address - Country:US
Mailing Address - Phone:678-361-6847
Mailing Address - Fax:
Practice Address - Street 1:11 CHARLEY HARPER DRIVE SUITE 140
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120
Practice Address - Country:US
Practice Address - Phone:678-719-0891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor