Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CHIR010602 | GA |
NPI | 1174290183 |
---|---|
Provider Name | Dr. Natalia Ortega |
First Address | Acworth, GA 30101-7924 |
Second Address | Atlanta, GA 30324-5453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2021 |
Last Update Date | 26/08/2021 |