Team Chiropractic P.C.
Organization Active NPI Chiropractor · Dallas, GA
NPI 1801028287 · NPPES record last updated Jun 28, 2012
Key facts
- NPI
- 1801028287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 007609 (GA)
- Legal business name
- TEAM CHIROPRACTIC P.C.
- Practice address
- 10175 Dallas Acworth Hwy
Suite 119
Dallas, GA 30132-9300 - Phone
- (678) 402-1091
- NPI assigned
- Aug 18, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Vincent Dimartino, D.C.
- Title
- Owner
- Phone
- (678) 402-1091
Practitioners 1
-
Nicole Marie Benge, D.C.
National Provider Directory
Locations
10175 Dallas Acworth Hwy
Ste 119
Dallas, GA 30132
Phone (678) 402-1091
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 007600 | GA | |
| Chiropractor |
111N00000X | 007609 | GA | Yes |
Addresses
Primary practice location
10175 Dallas Acworth Hwy
Suite 119
Dallas, GA 30132-9300
Mailing address
10175 Dallas Acworth Hwy
Suite 119
Dallas, GA 30132-9300
Phone (678) 402-1091
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.