Provider Demographics
NPI:1558480616
Name:GIOVANNOTTO, FRANK PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PAUL
Last Name:GIOVANNOTTO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 STILESBORO RD NW
Mailing Address - Street 2:BLDG.100 SUITE110
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-7744
Mailing Address - Country:US
Mailing Address - Phone:770-427-3337
Mailing Address - Fax:770-425-9959
Practice Address - Street 1:5150 STILESBORO RD NW
Practice Address - Street 2:BLDG.100 SUITE110
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-7744
Practice Address - Country:US
Practice Address - Phone:770-427-3337
Practice Address - Fax:770-425-9959
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4750111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor