TANNAZ MODARESI (NPI# 1568713725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568713725 |
Entity Type | Individual |
Full Name | TANNAZ MODARESI |
Credential | D.C |
Practice Address |
3800 Holcomb Bridge Rd Ste D Norcross GA 30092-2230 |
Practice Telephone | 7708001000 |
Practice Fax Number | 7708001000 |
Mailing Telephone | 7708001000 |
Mailing Fax Number | 7708001000 |
Enumeration Date | 2012-09-27 |
Last Update Date | 2015-06-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIR008995 | GA | Chiropractic Providers |
Street Address |
3800 HOLCOMB BRIDGE RD STE D |
City | NORCROSS |
State | GA |
Zip Code | 30092-2230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
Find all providers in zip 30092 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699243444 | David A Capoferri | Chiropractor | 6316 Spalding Dr Ste 1, Norcross, GA 30092-4668 | 2018-11-09 |
1609385731 | Brian T Vu | Chiropractor | 5495 Jimmy Carter Blvd Ste C2, Norcross, GA 30093-1514 | 2017-09-20 |
1063945947 | Injury and Rehab Centers of Georgia, LLC | Chiropractor | 1568 Indian Trail Lilburn Rd Ste 105, Norcross, GA 30093-2613 | 2017-04-06 |
1699127860 | Matthew David Spaur | Chiropractor | 3091 Holcomb Bridge Rd Ste D1, Norcross, GA 30071-1392 | 2016-07-12 |
1902210750 | Nghia Pham | Chiropractor | 5430 Jimmy Carter Blvd Ste 200, Norcross, GA 30093-1506 | 2014-06-19 |
1801224530 | Clifton Armstrong | Chiropractor | 4720 Peachtree Industrial Blvd Ste 104, Norcross, GA 30071-5736 | 2013-10-15 |
1356682777 | Matthew Ryan Boudreau | Chiropractor | 3091 Holcomb Bridge Rd, Suite D1, Norcross, GA 30071-1335 | 2013-03-11 |
1760733869 | Bell Dc Investments LLC | Chiropractor | 39a S Peachtree St, Norcross, GA 30071-2503 | 2012-09-28 |
1154658797 | Shannon Ann Mcbride | Chiropractor | 5860 Jimmy Carter Blvd Ste 110, Norcross, GA 30071-4657 | 2009-11-03 |
1124268958 | Precision Business Development | Chiropractor | 6316 Spalding Dr, Suite 1, Norcross, GA 30092-4667 | 2009-03-06 |
Find all providers in NORCROSS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.