Provider Demographics
NPI:1811107204
Name:HEALTH DOCTORS PC
Entity type:Organization
Organization Name:HEALTH DOCTORS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IGNAZIO
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:AGRIPPINA
Authorized Official - Suffix:
Authorized Official - Credentials:BS, DC
Authorized Official - Phone:770-664-0099
Mailing Address - Street 1:1700 ABBEY CT
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-6016
Mailing Address - Country:US
Mailing Address - Phone:770-664-0099
Mailing Address - Fax:770-664-9894
Practice Address - Street 1:1700 ABBEY CT
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-6016
Practice Address - Country:US
Practice Address - Phone:770-664-0099
Practice Address - Fax:770-664-9894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU76487Medicare UPIN