Provider Demographics
NPI:1881220762
Name:CANDELIERI-MARCARI, GIA NOELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:GIA NOELLE
Middle Name:
Last Name:CANDELIERI-MARCARI
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 1:3151 STILLHOUSE CREEK DR SE UNIT 25520
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3554
Mailing Address - Country:US
Mailing Address - Phone:757-759-9228
Mailing Address - Fax:
Practice Address - Street 1:8016 CUMMING HWY STE 304
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-9350
Practice Address - Country:US
Practice Address - Phone:770-345-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010334111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor