Provider Demographics
NPI:1528215209
Name:STRANG, JANICE ROSE (DC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:ROSE
Last Name:STRANG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6678 ROCKBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-4801
Mailing Address - Country:US
Mailing Address - Phone:678-907-3247
Mailing Address - Fax:770-498-6653
Practice Address - Street 1:6678 ROCKBRIDGE RD
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-4801
Practice Address - Country:US
Practice Address - Phone:678-907-3247
Practice Address - Fax:770-498-6653
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2238111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAT97859Medicare UPIN