Provider Demographics
NPI:1740326594
Name:KIOVANNI, BIANCA (DC)
Entity type:Individual
Prefix:DR
First Name:BIANCA
Middle Name:
Last Name:KIOVANNI
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 1:5450 GLENRIDGE DR NE
Mailing Address - Street 2:436
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4969
Mailing Address - Country:US
Mailing Address - Phone:404-252-2358
Mailing Address - Fax:
Practice Address - Street 1:325 HAMMOND DR NE
Practice Address - Street 2:201
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5032
Practice Address - Country:US
Practice Address - Phone:404-256-0114
Practice Address - Fax:404-256-0167
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor