Individual
NICHOLAS J. SUDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4401 SHALLOWFORD RD STE 142, ROSWELL, GA 30075-3175
(770) 552-7009
(770) 587-9877
Mailing address
4401 SHALLOWFORD RD STE 142, ROSWELL, GA 30075-3175
(770) 552-7009
(770) 587-9877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR004781
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027833
PIN #
GA
Enumeration date
08/19/2006
Last updated
07/08/2007
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