Individual
DR. MARCELLINA SISTARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
435 HAWTHORNE AVE, 8, ATHENS, GA 30606-2574
(404) 664-1114
Mailing address
435 HAWTHORNE AVE, 8, ATHENS, GA 30606-2574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008352
GA
111NR0400X
Rehabilitation Chiropractor
CHIR008352
GA
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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