Organization
TAO CHIRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE ELLEN DINERMAN BSN RN DC (CHIROPRACTOR/REGISTERED NURSE)
(404) 378-6300
Entity
Organization
Contact information
Practice address
2545 LAWRENCEVILLE HWY, SUITE 100, DECATUR, GA 30033-3239
(404) 378-6300
(770) 939-9353
Mailing address
917 SCOTT BLVD, DECATUR, GA 30030-1303
(404) 378-8978
(770) 939-9353
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CHIR002592
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U22510
MEDICARE # 35ZCFVL
GA
Enumeration date
06/18/2008
Last updated
06/19/2008
Update your record
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