Provider Demographics
NPI:1144490509
Name:MCNAMARA, JOSEPH P (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:MCNAMARA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 PEACHTREE PKWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-9348
Mailing Address - Country:US
Mailing Address - Phone:770-781-4200
Mailing Address - Fax:
Practice Address - Street 1:767 PEACHTREE PKWY
Practice Address - Street 2:SUITE 3
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-9348
Practice Address - Country:US
Practice Address - Phone:770-781-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-01
Last Update Date:2008-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005250111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology