Provider Demographics
NPI:1184780652
Name:KRZEMIEN, JOSEPH ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:KRZEMIEN
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 1:4271 S LEE ST
Mailing Address - Street 2:STE 201
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-3710
Mailing Address - Country:US
Mailing Address - Phone:770-614-6551
Mailing Address - Fax:770-831-5435
Practice Address - Street 1:4271 S LEE ST
Practice Address - Street 2:STE 201
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-3710
Practice Address - Country:US
Practice Address - Phone:770-614-6551
Practice Address - Fax:770-831-5435
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007293111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician