Provider Demographics
NPI:1740664101
Name:NORTON, DEVONO CORNELIUS (DC)
Entity type:Individual
Prefix:DR
First Name:DEVONO
Middle Name:CORNELIUS
Last Name:NORTON
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 1:514 TREES OF KENNESAW PKWY NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-7644
Mailing Address - Country:US
Mailing Address - Phone:843-303-7974
Mailing Address - Fax:
Practice Address - Street 1:1675 CUMBERLAND PKWY SE STE 205
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6360
Practice Address - Country:US
Practice Address - Phone:770-955-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor