MEDICARE: DR. JOSEPH L RITOLA DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	33074	CA
2	111N00000X	Chiropractor	14194	TX
3	111N00000X	Chiropractor	CHIR009883	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14194	OTHER	TX	TEXAS BOARD OF CHIROPRACTIC

General Provider Information

NPI Number	:	1003293945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH L RITOLA DC

Provider Business Mailing Address
First Line	:	4011 GA HIGHWAY 40 E
Second Line	:
City	:	SAINT MARYS
State	:	GA
Zip	:	31558-4067
Country	:	US
Telephone Number	:	404-729-7496
Fax Number	:

Provider Business Practice Location Address
First Line	:	4011 GA HIGHWAY 40 E
Second Line	:
City	:	SAINT MARYS
State	:	GA
Zip	:	31558-4067
Country	:	US
Telephone Number	:	912-882-3323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2015
Last Update Date	:	03/18/2024

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Directions to “ DR. JOSEPH L RITOLA DC” Practice Location

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