Individual provider · Type 1 NPI

John Joseph Dericco, DC

Chiropractor · Buford, GA

NPI number 1356582902 Active

Practice location

5965 Dolvin Lane
Buford, GA 30518-1207

Call (770) 935-8533 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIR004683 (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 1356582902

John Joseph Dericco, DC's National Provider Identifier is 1356582902, issued on Mar 11, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Buford, GA. The record was last updated on Mar 11, 2009.