Provider Demographics
NPI:1497076426
Name:JOAM CORP, INC
Entity Type:Organization
Organization Name:JOAM CORP, INC
Other - Org Name:JOANNE MASCIARELLI DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MASCIARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-477-1589
Mailing Address - Street 1:3098 PIEDMONT RD NE STE 430
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2600
Mailing Address - Country:US
Mailing Address - Phone:404-237-7130
Mailing Address - Fax:770-992-1826
Practice Address - Street 1:3098 PIEDMONT RD NE STE 430
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2600
Practice Address - Country:US
Practice Address - Phone:404-237-7130
Practice Address - Fax:770-992-1826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-14
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty