Individual provider · Type 1 NPI
Ivan Camilo Rodriguez Goire, DC
Chiropractor · Mableton, GA
NPI number
1275276271
Active
Practice location
1245 Veteran Memorial Hwy SW, Suite 22
Mableton, GA 30126
Mailing address
1197 Flamingo Dr
Austell, GA 30168-6109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Chiropractor | 111NN0400X | CHIR010018 (GA) |
| Radiology Chiropractor | 111NR0200X | CHIR010018 (GA) |
| Rehabilitation Chiropractor | 111NR0400X | CHIR010018 (GA) |
| Orthopedic Chiropractor | 111NX0800X | CHIR010018 (GA) |
| Chiropractor Primary | 111N00000X | CHIR010018 (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 1275276271
Ivan Camilo Rodriguez Goire, DC's National Provider Identifier is 1275276271, issued on Apr 18, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mableton, GA. The record was last updated on Apr 18, 2022.