Provider Demographics
NPI:1801009170
Name:EFFATT, ERROL EMILE (DC)
Entity Type:Individual
Prefix:DR
First Name:ERROL
Middle Name:EMILE
Last Name:EFFATT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6030 HIGHWAY 85
Mailing Address - Street 2:SUITE 242
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-1529
Mailing Address - Country:US
Mailing Address - Phone:770-907-1115
Mailing Address - Fax:770-907-1115
Practice Address - Street 1:6030 HIGHWAY 85
Practice Address - Street 2:SUITE 242
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-1529
Practice Address - Country:US
Practice Address - Phone:770-907-1115
Practice Address - Fax:770-907-1115
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA05308111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor