Provider Demographics
NPI:1669797148
Name:PLOTKINA, OLENA M (DC)
Entity type:Individual
Prefix:DR
First Name:OLENA
Middle Name:M
Last Name:PLOTKINA
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 1:3155 ROSWELL RD.
Mailing Address - Street 2:SUITE 140
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-384-8498
Mailing Address - Fax:404-231-5546
Practice Address - Street 1:3155 ROSWELL RD NE
Practice Address - Street 2:SUITE 140
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1821
Practice Address - Country:US
Practice Address - Phone:404-384-8498
Practice Address - Fax:404-231-5546
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008552111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor