Provider Demographics
NPI:1629769559
Name:NIEVES BERRIOS, ZOE (DC)
Entity Type:Individual
Prefix:DR
First Name:ZOE
Middle Name:
Last Name:NIEVES BERRIOS
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 1:6348 1/2 TARA BLVD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-1224
Mailing Address - Country:US
Mailing Address - Phone:404-288-8433
Mailing Address - Fax:
Practice Address - Street 1:6348 1/2 TARA BLVD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-1224
Practice Address - Country:US
Practice Address - Phone:404-288-8433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor