Provider Demographics
NPI:1740800218
Name:GUTIERREZ, YOLANDA F (DO)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:F
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3072 SPRING HILL PKWY SE APT B
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4740
Mailing Address - Country:US
Mailing Address - Phone:404-940-0441
Mailing Address - Fax:
Practice Address - Street 1:5598 BELLS FERRY RD
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30102-2526
Practice Address - Country:US
Practice Address - Phone:404-964-4985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009977111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor