Provider Demographics
NPI:1518107697
Name:SERDULA ARANTES, NATALYA (CHIROPRACTOR)
Entity Type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:SERDULA ARANTES
Suffix:
Gender:F
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 RAVINIA DR
Mailing Address - Street 2:SUITE P-160
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-2118
Mailing Address - Country:US
Mailing Address - Phone:770-392-7160
Mailing Address - Fax:770-352-9945
Practice Address - Street 1:3 RAVINIA DR
Practice Address - Street 2:SUITE P-160
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-2118
Practice Address - Country:US
Practice Address - Phone:770-392-7160
Practice Address - Fax:770-352-9945
Is Sole Proprietor?:No
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor