Provider Demographics
NPI:1851789291
Name:ALBERTIN, DIANA STEPHENS (DC, DACNB)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:STEPHENS
Last Name:ALBERTIN
Suffix:
Gender:F
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 SPECTRUM CIRCLE
Mailing Address - Street 2:SUITE 200 B
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067
Mailing Address - Country:US
Mailing Address - Phone:682-300-0352
Mailing Address - Fax:
Practice Address - Street 1:1950 SPECTRUM CIRCLE
Practice Address - Street 2:SUITE 200 B
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067
Practice Address - Country:US
Practice Address - Phone:682-300-0352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO00891111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology