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General NPI Number Information
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NPI Number | 1609085281
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Entity Type | Individual
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Provider Name | CARMEN F FLORES DC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5239 HIGHWAY 278 NE
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City | COVINGTON
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State | GA
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Zip | 30014-2671
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Country | US
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Telephone | 770-385-0045
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Fax | 770-787-6588
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Provider Business Mailing Address
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Address Line | 2728 SUWANEE WAY SE
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City | MARIETTA
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State | GA
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Zip | 30067-6262
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Country | US
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Telephone | 678-760-9175
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Fax | 770-787-6588
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 007878
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License Number State | GA
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