Healthcare Provider Details

I. General information

NPI: 1245282052
Provider Name (Legal Business Name): MICHAEL ANDREW CONE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 10/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5825 GLENRIDGE DR NE BUILDING 2-103
SANDY SPRINGS GA
30328-5387
US

IV. Provider business mailing address

5825 GLENRIDGE DR NE BUILDING 2-103
SANDY SPRINGS GA
30328-5387
US

V. Phone/Fax

Practice location:
  • Phone: 404-591-6111
  • Fax: 404-591-6890
Mailing address:
  • Phone: 404-591-6111
  • Fax: 404-591-6890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number006919
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: