# BE THE LIGHT CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477043123
- **Authorized official:** DR. ANGELLA PEROTTI (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (678) 328-7146

## Contact information

- **Practice address:** 805 HI HOPE RD, LAWRENCEVILLE, GA 30043-4544
- **Practice address phone:** (316) 235-4448
- **Mailing address:** 805 HI HOPE RD, LAWRENCEVILLE, GA 30043-4544
- **Mailing address phone:** (316) 235-4448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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