Individual
DR. ANTHONY LOUIS IMBESI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6495 SHILOH RD, UNIT 110, ALPHARETTA, GA 30005-1635
(706) 490-9230
Mailing address
PO BOX 461, CLAYTON, GA 30525-0012
(706) 782-2466
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5236
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00760625A
—
GA
05
—
89085H3
—
NC
Enumeration date
12/27/2006
Last updated
03/07/2012
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