Provider Demographics
NPI:1992939664
Name:NUNEZ AGUILAR, MARIA VIVIANA (D C)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:VIVIANA
Last Name:NUNEZ AGUILAR
Suffix:
Gender:F
Credentials:D C
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:VIVIANA
Other - Last Name:NUNEZ AGUILAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:D C
Mailing Address - Street 1:1106 FURYS LN STE A
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-8219
Mailing Address - Country:US
Mailing Address - Phone:706-869-5565
Mailing Address - Fax:706-869-5572
Practice Address - Street 1:1106 FURYS LN STE A
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-8219
Practice Address - Country:US
Practice Address - Phone:706-869-5565
Practice Address - Fax:706-869-5572
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009511111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor