Provider Demographics
NPI:1356571954
Name:ORLANDO, DAVID M (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:ORLANDO
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 1:295 MOLLY LN
Mailing Address - Street 2:SUITE 150
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-3760
Mailing Address - Country:US
Mailing Address - Phone:770-926-4646
Mailing Address - Fax:770-966-8870
Practice Address - Street 1:295 MOLLY LN
Practice Address - Street 2:SUITE 150
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-3760
Practice Address - Country:US
Practice Address - Phone:770-926-4646
Practice Address - Fax:770-966-8870
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA2021352921Medicare PIN