Healthcare Provider Details

I. General information

NPI: 1275455297
Provider Name (Legal Business Name): NOELIA MARIA GONZALEZ FERRAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1685 MARS HILL RD NW STE 103
ACWORTH GA
30101-7180
US

IV. Provider business mailing address

2055 BARRETT LAKES BLVD NW APT 1022
KENNESAW GA
30144-8004
US

V. Phone/Fax

Practice location:
  • Phone: 770-218-0400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR066698
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: