Provider Demographics
NPI:1568873073
Name:PIZZA, VANESSA N (DC,)
Entity Type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:N
Last Name:PIZZA
Suffix:
Gender:F
Credentials:DC,
Other - Prefix:DR
Other - First Name:VANESSA
Other - Middle Name:P
Other - Last Name:TRIPLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:255 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:GA
Mailing Address - Zip Code:30650-1390
Mailing Address - Country:US
Mailing Address - Phone:706-438-1314
Mailing Address - Fax:706-438-1315
Practice Address - Street 1:255 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:GA
Practice Address - Zip Code:30650-1390
Practice Address - Country:US
Practice Address - Phone:706-438-1314
Practice Address - Fax:706-438-1315
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009323111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor