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NPI Code Detail

MEDICARE: ATLAS PERFORMANCE INC

MEDICARE: ATLAS PERFORMANCE INC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1114880986
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLAS PERFORMANCE INC
Provider Business Mailing Address
First Line : 247 OAK CREEK DR
Second Line :
City : DAWSONVILLE
State : GA
Zip : 30534-7017
Country : US
Telephone Number : 678-640-4191
Fax Number : 706-216-2732
Provider Business Practice Location Address
First Line : 101 ETHAN ALLEN DR
Second Line :
City : DAHLONEGA
State : GA
Zip : 30533-6616
Country : US
Telephone Number : 770-744-1516
Fax Number : 706-216-2732
Authorized Official
Title or Position : CEO
Name : ALEX ANNIS
Credential : DC
Telephone Number : 678-640-4191
Provider Enumeration Date : 12/08/2025
Last Update Date : 01/11/2026

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Directions to “ATLAS PERFORMANCE INC ” Practice Location

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