Healthcare Provider Details

I. General information

NPI: 1730393901
Provider Name (Legal Business Name): MARIE ALAINE KRUZEL D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3460 SUMMIT RIDGE PKWY
DULUTH GA
30096-1622
US

IV. Provider business mailing address

2440 FLAT STONE DR
CUMMING GA
30041-7876
US

V. Phone/Fax

Practice location:
  • Phone: 770-813-0087
  • Fax: 770-813-9005
Mailing address:
  • Phone: 770-851-6703
  • Fax: 770-813-9006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIRO05445
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberCHIRO05445
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License NumberCHIRO05445
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCHIRO05445
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code111NT0100X
TaxonomyThermography Chiropractor
License NumberCHIRO05445
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCHIRO05445
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: