Provider Demographics
NPI:1811345937
Name:DENNIS, ALYSSA (DC)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:
Last Name:DENNIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6425 POWERS FERRY RD STE 175
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2964
Mailing Address - Country:US
Mailing Address - Phone:678-831-5064
Mailing Address - Fax:
Practice Address - Street 1:6425 POWERS FERRY RD STE 175
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2964
Practice Address - Country:US
Practice Address - Phone:678-831-5064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009642111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor