Provider Demographics
NPI:1881771350
Name:VON FLUEGGE, CAROLINE (DC)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:VON FLUEGGE
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:PO BOX 550369
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30355-2869
Mailing Address - Country:US
Mailing Address - Phone:404-261-4848
Mailing Address - Fax:404-261-4846
Practice Address - Street 1:360 PHARR RD NE LOWR LEVEL-101
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2350
Practice Address - Country:US
Practice Address - Phone:404-261-4848
Practice Address - Fax:404-261-4846
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6128111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor