Healthcare Provider Details

I. General information

NPI: 1134045867
Provider Name (Legal Business Name): ADVANCED MEDICAL & CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 OLD SPRING HOUSE LN STE 300B
ATLANTA GA
30338-6215
US

IV. Provider business mailing address

5975 SHILOH RD STE 114
ALPHARETTA GA
30005-1751
US

V. Phone/Fax

Practice location:
  • Phone: 470-499-2384
  • Fax:
Mailing address:
  • Phone: 770-789-8796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: VOLESTA AUTRY
Title or Position: MANAGING MEMBER/OWNER
Credential:
Phone: 770-789-8796