Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CHIRO007390 | GA |
NPI | 1275657918 |
---|---|
Provider Name | Francisco Pastor |
First Address | Chamblee, GA 30341-2235 |
Second Address | Chamblee, GA 30341-2235 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/07/2007 |