Organization
ALPHARETTA BACK & NECK CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT J DIVAGNO DC (DC/OWNER)
(678) 897-4242
Entity
Organization
Contact information
Practice address
3502 OLD MILTON PKWY, ALPHARETTA, GA 30005-4458
(678) 879-4242
(678) 879-5411
Mailing address
3502 OLD MILTON PKWY, ALPHARETTA, GA 30005-4458
(678) 879-4242
(678) 879-5411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
GA1707
GA
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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