Provider Demographics
NPI:1962620096
Name:ALAMPI, MICHELE RENNIE
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:RENNIE
Last Name:ALAMPI
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:RENNIE
Other - Middle Name:
Other - Last Name:ALAMPI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:114 TOWNE LAKE PKWY
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-4843
Mailing Address - Country:US
Mailing Address - Phone:770-926-0123
Mailing Address - Fax:
Practice Address - Street 1:114 TOWNE LAKE PKWY
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-4843
Practice Address - Country:US
Practice Address - Phone:770-926-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005993111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation