Provider Demographics
NPI:1396894135
Name:PALMIERI, MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:PALMIERI
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 1:1182 GRIMES BRIDGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-3987
Mailing Address - Country:US
Mailing Address - Phone:770-587-2900
Mailing Address - Fax:770-587-1058
Practice Address - Street 1:1190 GRIMES BRIDGE RD
Practice Address - Street 2:SUITE G
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3930
Practice Address - Country:US
Practice Address - Phone:770-998-9091
Practice Address - Fax:770-587-5569
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007415111N00000X
FLCH8061111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU79850Medicare UPIN
GA35ZCHJFMedicare UPIN