DR. Ivan Camilo Rodriguez Goire, DC

NPI #1275276271 in Mableton, Georgia

Provider Information

NPI Number: 1275276271
Entity Type: Individual
Name: DR. Ivan Camilo Rodriguez Goire, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Apr 18, 2022
Last Updated: Apr 18, 2022

Practice Location

Address: 1245 VETERAN MEMORIAL HWY SW
Address 2: SUITE 22
City: Mableton
State: Georgia
ZIP Code: 30126
Phone: (404) 964-4985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Neurology — Neurology	111NN0400X
Chiropractor - Radiology — Radiology	111NR0200X
Chiropractor - Rehabilitation — Rehabilitation	111NR0400X
Chiropractor - Orthopedic — Orthopedic	111NX0800X
Chiropractor	111N00000X	Primary

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