Provider Demographics
NPI:1760494231
Name:DALY, STUART (DC)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:
Last Name:DALY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 N POINT PKWY
Mailing Address - Street 2:SUITE101
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4248
Mailing Address - Country:US
Mailing Address - Phone:770-558-6681
Mailing Address - Fax:770-993-4221
Practice Address - Street 1:3180 N POINT PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4248
Practice Address - Country:US
Practice Address - Phone:770-558-6681
Practice Address - Fax:770-993-4221
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR004812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor