MEDICARE: LOVING HANDS FAMILY CHIROPRACTIC, INC.

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	5130	GA

General Provider Information

NPI Number	:	1912049057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING HANDS FAMILY CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	1014 PIEDMONT AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3702
Country	:	US
Telephone Number	:	404-814-0361
Fax Number	:

Provider Business Practice Location Address
First Line	:	1014 PIEDMONT AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3702
Country	:	US
Telephone Number	:	404-814-0361
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANDREA CAPOZZI
Credential	:	DC
Telephone Number	:	404-814-0361

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	08/22/2020

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