MEDICARE: DR. DANIELLE COTOVIA PERNA-AMARI 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	CHIR011136	GA

General Provider Information

NPI Number	:	1306487301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELLE COTOVIA PERNA-AMARI DC

Provider Business Mailing Address
First Line	:	225 PARKWAY 575 UNIT 575
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-1508
Country	:	US
Telephone Number	:	470-478-9938
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 PARKWAY 575 UNIT 575
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-1508
Country	:	US
Telephone Number	:	470-478-9938
Fax Number	:

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

Provider Enumeration Date	:	10/01/2019
Last Update Date	:	02/16/2026

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