MEDICARE: TONY GIANG LLC

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	1527	LA

General Provider Information

NPI Number	:	1780998690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TONY GIANG LLC

Provider Business Mailing Address
First Line	:	428 REALTY DR
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70056-7749
Country	:	US
Telephone Number	:	504-444-2626
Fax Number	:

Provider Business Practice Location Address
First Line	:	428 REALTY DR
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70056-7749
Country	:	US
Telephone Number	:	504-444-2626
Fax Number	:	504-872-0715

Authorized Official
Title or Position	:	MANAGER
Name	:	CORRIE ANDERSON
Credential	:
Telephone Number	:	509-927-0070

Provider Enumeration Date	:	08/03/2010
Last Update Date	:	08/03/2010

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Directions to “TONY GIANG LLC ” Practice Location

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