Provider Demographics
NPI:1992947709
Name:GORE, LARONA (BS, DC)
Entity type:Individual
Prefix:DR
First Name:LARONA
Middle Name:
Last Name:GORE
Suffix:
Gender:F
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2617 SANDY PLAINS RD STE C
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4254
Mailing Address - Country:US
Mailing Address - Phone:770-973-1173
Mailing Address - Fax:770-973-1175
Practice Address - Street 1:2617 SANDY PLAINS RD STE C
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4254
Practice Address - Country:US
Practice Address - Phone:770-973-1173
Practice Address - Fax:770-973-1175
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008408111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor