Provider Demographics
NPI:1598010621
Name:YORK, AMBER ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:ELIZABETH
Last Name:YORK
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 1:3000 WINDY HILL RD SE STE 204
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8430
Mailing Address - Country:US
Mailing Address - Phone:770-988-8884
Mailing Address - Fax:
Practice Address - Street 1:3000 WINDY HILL RD SE STE 204
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8430
Practice Address - Country:US
Practice Address - Phone:770-988-8884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-15
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO009025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor