Individual provider · Type 1 NPI
Guadalupe Rosario Pacheco, DC
Chiropractor · Decatur, GA
NPI number
1114550209
Active
Practice location
4292 Memorial Dr Ste D
Decatur, GA 30032-1224
Mailing address
6175 Delamere Ln
Rex, GA 30273-1250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR010311 (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 1114550209
Guadalupe Rosario Pacheco, DC's National Provider Identifier is 1114550209, issued on Feb 17, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Decatur, GA. The record was last updated on Feb 17, 2020.