Provider Demographics
NPI:1518081918
Name:POONAI, VISHWMITR SR (DC DOCTOR OF CHIROPR)
Entity Type:Individual
Prefix:
First Name:VISHWMITR
Middle Name:
Last Name:POONAI
Suffix:SR
Gender:M
Credentials:DC DOCTOR OF CHIROPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560A WINDY HILL RD SE
Mailing Address - Street 2:CLINICA DEL DOLOR
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080
Mailing Address - Country:US
Mailing Address - Phone:678-213-2082
Mailing Address - Fax:678-213-2082
Practice Address - Street 1:560A WINDY HILL RD SE
Practice Address - Street 2:CLINICA DEL DOLOR
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080
Practice Address - Country:US
Practice Address - Phone:678-213-2082
Practice Address - Fax:678-213-2082
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006893111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor