ALPHARETTA BACK & NECK CENTER (NPI# 1659476703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659476703 |
| Entity Type | Organization |
| Organization Name | ALPHARETTA BACK & NECK CENTER |
| Practice Address |
3502 Old Milton Pkwy Alpharetta GA 30005-4458 |
| Practice Telephone | 6788794242 |
| Practice Fax Number | 6788795411 |
| Mailing Telephone | 6788794242 |
| Mailing Fax Number | 6788795411 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALBERT J DIVAGNO (DC/OWNER) |
| Authorized Official Telephone | 6788974242 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | GA1707 | GA | Chiropractic Providers |
| Street Address |
3502 OLD MILTON PKWY |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-4458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538264635 | Albert J Divagno | Chiropractor | 3502 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2006-09-13 |
| 1487211785 | Erin Riley | Chiropractor | 3502 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2019-05-22 |
| 1700128329 | Champion Chiropractic, LLC | Chiropractor | 3502 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2013-03-21 |
| 1689914871 | Renee Lauren White | Chiropractor | 3502 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2013-02-25 |
| 1841436524 | Ekberg Enterprises, Inc. | Chiropractor | 3502 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2008-12-30 |
| 1891963211 | Taraji Keya Mcrae | Chiropractor | 3502 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2008-02-19 |
| 1992828867 | Bradley Bongiovanni | Naturopath | 3502 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2007-04-07 |
| 1730287582 | Alpharetta Back and Neck Center | Chiropractor | 3502 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| 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 |
|---|---|---|---|---|
| 1124627260 | Jordan Louis Mallamace | Chiropractor | 6110 Mcfarland Station Dr Unit 400, Alpharetta, GA 30004-6806 | 2020-10-20 |
| 1841825122 | Alliance Sports Medicine LLC | Chiropractor | 6110 Mcfarland Station Dr Ste 400, Alpharetta, GA 30004-6801 | 2020-03-07 |
| 1467002501 | Optimal Spine and Body LLC | Chiropractor | 288 S Main St Ste 600, Alpharetta, GA 30009-1983 | 2019-09-19 |
| 1386294593 | Haley Ray | Chiropractor | 2650 Holcomb Bridge Rd Ste 140, Alpharetta, GA 30022-5335 | 2019-09-19 |
| 1962057984 | Max Chiropractic | Chiropractor | 131 Roswell St Ste B101, Alpharetta, GA 30009-1996 | 2019-08-06 |
| 1609334671 | Jenna Williams | Chiropractor | 670 N Main St Ste 111, Alpharetta, GA 30009-2401 | 2019-03-07 |
| 1497224380 | Alpharetta Medical Group, LLC | Chiropractor | 11807 Northfall Ln Ste 901, Alpharetta, GA 30009-7972 | 2018-11-20 |
| 1043794860 | Benjamin Colten | Chiropractor | 131 Roswell St Ste 101, Alpharetta, GA 30009-1909 | 2018-09-18 |
| 1508369372 | Michael William Freeman | Chiropractor | 12389 Crabapple Road, Alpharetta, GA 30004 | 2018-03-17 |
| 1952801110 | Kera Wilson | Chiropractor | 131 Roswell St # B101, Alpharetta, GA 30009-1996 | 2018-02-14 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on ALPHARETTA BACK & NECK CENTER.
| 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.