Provider Demographics
NPI:1770311938
Name:MATHIEU, NATASHA DONJOIE (DC)
Entity type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:DONJOIE
Last Name:MATHIEU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:NATASHA
Other - Middle Name:DONJOIE
Other - Last Name:MATHIEU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:3245 AMBERGROVE TRCE
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-6811
Mailing Address - Country:US
Mailing Address - Phone:404-808-3356
Mailing Address - Fax:
Practice Address - Street 1:1950 BUFORD MILL DR STE E
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4388
Practice Address - Country:US
Practice Address - Phone:678-541-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011222111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor