DR. THALIA KRYSTAL GONZALEZ (NPI# 1679130926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679130926 |
Entity Type | Individual |
Full Name | DR. THALIA KRYSTAL GONZALEZ |
Credential | DC |
Practice Address |
5005 Lawrenceville Hwy Nw Ste A Lilburn GA 30047-4946 |
Mailing Address |
3190 Linden Dr Lawrenceville GA 30044-2609 |
Practice Telephone | 7813671638 |
Mailing Telephone | 7813671638 |
Enumeration Date | 2019-05-22 |
Last Update Date | 2020-03-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
010214 | GA | Chiropractic Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1500 Peachtree Industrial Blvd Ste 290, Suwanee, GA 300248494 | 6783182431 |
Street Address |
5005 LAWRENCEVILLE HWY NW STE A |
City | LILBURN |
State | GA |
Zip Code | 30047-4946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
Find all providers in zip 30047 |
Taxonomy Code | 111NP0017X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Pediatric Chiropractor |
The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. |
Notes: Source: Council on Chiropractic Pediatrics, American Chiropractic Association, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336608736 | Katheryne Castro | Chiropractor | 1503 Johnson Ferry Rd Ste 100, Marietta, GA 30062-9112 | 2019-03-15 |
1063951218 | Amber Chea Greer | Chiropractor | 1843 Caswell Pkwy, Marietta, GA 30060-9263 | 2017-02-21 |
1437507746 | Adriana Bedford | Chiropractor | 2750 Jiles Rd Nw Ste 105, Kennesaw, GA 30144-7330 | 2016-05-26 |
1821454448 | Lotem Leah Lako | Chiropractor | 1455 Old Alabama Rd Ste 125, Roswell, GA 30076-2165 | 2016-01-12 |
1467859868 | Richard Cohen | Chiropractor | 255 Village Pkwy Ne Ste 620, Marietta, GA 30067-4160 | 2014-12-01 |
1083879118 | Angela Karvounis | Chiropractor | 202 White St Nw, Marietta, GA 30060-1058 | 2008-07-29 |
1093341737 | Connect My Brain | Chiropractor | 4930 Long Island Ter, Atlanta, GA 30342-2572 | 2020-03-13 |
1942796263 | Grace Gilbreath | Chiropractor | 2125 Pace St Ste B, Covington, GA 30014-6660 | 2018-07-10 |
1023527439 | Brittney Knowlton | Chiropractor | 112 Harmony Xing Ste 1, Eatonton, GA 31024-9536 | 2017-09-28 |
1609225010 | Julie Lovejoy | Chiropractor | 1800 Hog Mountain Rd, Bldg 1000 Ste 103, Watkinsville, GA 30677-1935 | 2016-06-07 |
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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.