Organization
ATLANTA ACCIDENT & INJURY SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA GENE PICCIRILLO D.C (OWNER)
(770) 934-4233
Entity
Organization
Contact information
Practice address
2181 NORTHLAKE PKWY. SUITE 120 BLDG 6, TUCKER, GA 30084
(770) 934-4233
(770) 934-4234
Mailing address
P.O. BOX 267, TUCKER, GA 30085
(770) 934-4233
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIRO07460
GA
207R00000X
Internal Medicine Physician
038164
GA
208000000X
Pediatrics Physician
Primary
30996
GA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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