MEDICARE: DR. TONY GIANG D.C.

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	1527	LA

General Provider Information

NPI Number	:	1730311150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY GIANG D.C.

Provider Business Mailing Address
First Line	:	428 REALTY DR
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70056-7749
Country	:	US
Telephone Number	:	504-444-2626
Fax Number	:

Provider Business Practice Location Address
First Line	:	428 REALTY DR
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70056-7749
Country	:	US
Telephone Number	:	504-906-2131
Fax Number	:

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

Provider Enumeration Date	:	08/18/2009
Last Update Date	:	05/18/2010

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