Doctor Name: | DR. ANTHONY LOUIS IMBESI |
NPI Number: | 1245395516 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 5236 |
Business Practice Address: | 6495 Shiloh Rd Unit 110 Alpharetta, GA - 300051635 |
Business Phone Number: | 7064909230 |
Business Fax Number: | |
Mailing Address: | Po Box 461, CLAYTON |
State: | GA |
Postal Code: | 305250012 |
Phone Number: | 7067822466 |
Fax Number: | |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 03/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 5236 |
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. |