Provider Demographics
NPI:1962542795
Name:ANEL MANAGEMENT INC.
Entity type:Organization
Organization Name:ANEL MANAGEMENT INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAREL
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-LOUIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:770-761-2181
Mailing Address - Street 1:1257 COMMERCIAL DR SW STE A
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-5991
Mailing Address - Country:US
Mailing Address - Phone:770-761-2181
Mailing Address - Fax:770-761-0277
Practice Address - Street 1:1257 COMMERCIAL DR SW STE A
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-5991
Practice Address - Country:US
Practice Address - Phone:770-761-2181
Practice Address - Fax:770-761-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU89939Medicare UPIN
GPR4468Medicare ID - Type Unspecified
GA35ZCGTNMedicare ID - Type UnspecifiedMEDICARE ID