Individual provider · Type 1 NPI
Gonzalo J. Pena, DC
Chiropractor · Suwanee, GA
NPI number
1407979610
Active
Practice location
3465 Parsons Run
Suwanee, GA 30024-1093
Fax (770) 887-8724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1459 (SC) |
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.
Another provider at this address
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About NPI 1407979610
Gonzalo J. Pena, DC's National Provider Identifier is 1407979610, issued on Apr 10, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Suwanee, GA. The record was last updated on Jul 8, 2007.