Doctor Name: | DR. JAMES ANTHONY DI BLASI |
NPI Number: | 1194823211 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 1159 |
Business Practice Address: | 2487 Cedarcrest Rd Suite 913 Acworth, GA - 301012728 |
Business Phone Number: | 7709742405 |
Business Fax Number: | 7709745207 |
Mailing Address: | 2487 Cedarcrest Rd, Suite 913 ACWORTH |
State: | GA |
Postal Code: | 301012728 |
Phone Number: | 7709742405 |
Fax Number: | 7709745207 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 1159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |