Individual
DR. ANGEL TRIBUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
44 DARBYS CROSSING DR, SUITE 102A, HIRAM, GA 30141-6008
(770) 439-8393
(815) 642-9045
Mailing address
44 DARBYS CROSSING DR, SUITE 102A, HIRAM, GA 30141-6008
(770) 439-8393
(815) 642-9045
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5022
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11353066
CAQH
—
Enumeration date
06/26/2006
Last updated
05/07/2008
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