Individual provider · Type 1 NPI
Traci Autera, DC
Chiropractor · Fayetteville, GA
NPI number
1053658765
Active
Practice location
1952 Highway 54 W
Fayetteville, GA 30214-4781
Fax (770) 487-5950
Mailing address
PO Box 2466
Peachtree City, GA 30269-0466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 005287 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1053658765
Traci Autera, DC's National Provider Identifier is 1053658765, issued on Jan 15, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fayetteville, GA. The record was last updated on Jan 15, 2013.