Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CHIR006217 | GA |
NPI | 1215157094 |
---|---|
Provider Name | Dr. Joanne Pamboris Connors |
First Address | Duluth, GA 30097-2494 |
Second Address | Duluth, GA 30097 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 08/07/2007 |