TANNAZ MODARESI


Address: 3800 Holcomb Bridge Rd Ste D, Norcross, GA 30092-2230
Phone: 7708001000

TANNAZ MODARESI (NPI# 1568713725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor CHIR008995 GA Chiropractic Providers

Office Location

Street Address 3800 HOLCOMB BRIDGE RD STE D
City NORCROSS
State GA
Zip Code 30092-2230

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City NORCROSS
Zip Code 30092

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Dataset Information

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.

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