Provider Demographics
NPI:1124454343
Name:VENTI CHIROPRACTIC AND SPORTS HEALTH
Entity type:Organization
Organization Name:VENTI CHIROPRACTIC AND SPORTS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RUBEN
Authorized Official - Last Name:VENTIMIGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-698-2552
Mailing Address - Street 1:1100 HAMMOND DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-8198
Mailing Address - Country:US
Mailing Address - Phone:770-698-2552
Mailing Address - Fax:770-698-2553
Practice Address - Street 1:1100 HAMMOND DR
Practice Address - Street 2:SUITE 220
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-8198
Practice Address - Country:US
Practice Address - Phone:770-698-2552
Practice Address - Fax:770-698-2553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty