MEDICARE: DR. ANGENEA S POUNDS 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	CHIR010504	GA

General Provider Information

NPI Number	:	1851985311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGENEA S POUNDS DC

Provider Business Mailing Address
First Line	:	2875 CRESCENT PKWY APT 1342
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-6279
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1965 N PARK PL SE STE 200
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2004
Country	:	US
Telephone Number	:	404-585-3724
Fax Number	:

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

Provider Enumeration Date	:	02/25/2021
Last Update Date	:	02/25/2021

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Directions to “ DR. ANGENEA S POUNDS DC” Practice Location

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