MEDICARE: DR. CHRISTINA NICOLE NEROS D.C., M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301008885	MI
2	111N00000X	Chiropractor	CHIR008171	GA

General Provider Information

NPI Number	:	1023086667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA NICOLE NEROS D.C., M.S.

Provider Business Mailing Address
First Line	:	PO BOX 80708
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30366-0708
Country	:	US
Telephone Number	:	517-974-1121
Fax Number	:	888-671-5236

Provider Business Practice Location Address
First Line	:	1756 CENTURY BLVD NE STE A
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-3389
Country	:	US
Telephone Number	:	404-638-6653
Fax Number	:	888-671-5236

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	03/16/2010

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