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Organization
BE THE LIGHT CHIROPRACTIC
Active
Organization
BE THE LIGHT CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELLA PEROTTI (OWNER/CHIROPRACTOR)
(678) 328-7146
Entity
Organization
Contact information
Practice address
805 HI HOPE RD, LAWRENCEVILLE, GA 30043-4544
(316) 235-4448
Mailing address
805 HI HOPE RD, LAWRENCEVILLE, GA 30043-4544
(316) 235-4448
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/17/2018
Last updated
09/05/2024
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