Healthcare Provider Details

I. General information

NPI: 1194604256
Provider Name (Legal Business Name): CRISTINA ROSE TAGLIENTI DC, DACNB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2025
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 JOHNSON FERRY RD STE 102
MARIETTA GA
30062-5697
US

IV. Provider business mailing address

707 PARK AVE NE APT 1304
ATLANTA GA
30326-3407
US

V. Phone/Fax

Practice location:
  • Phone: 678-404-5600
  • Fax:
Mailing address:
  • Phone: 847-322-3150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR011413
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberCHIR011413
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: