MEDICARE: COLLEEN MARIE PIO 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	111NS0005X	Sports Physician Chiropractor	5345	GA

General Provider Information

NPI Number	:	1225047269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN MARIE PIO DC

Provider Business Mailing Address
First Line	:	410 CHIMNEY BLF
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30022-5402
Country	:	US
Telephone Number	:	770-249-7691
Fax Number	:

Provider Business Practice Location Address
First Line	:	2164 NORTH RD
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-2668
Country	:	US
Telephone Number	:	678-344-4533
Fax Number	:

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	10/24/2011

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Directions to “ COLLEEN MARIE PIO DC” Practice Location

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