Provider Demographics
NPI:1801777321
Name:MOREIRA, PAOLA NATALIA (DC)
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:NATALIA
Last Name:MOREIRA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5495 JIMMY CARTER BLVD STE C2
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1514
Mailing Address - Country:US
Mailing Address - Phone:470-991-8888
Mailing Address - Fax:
Practice Address - Street 1:5495 JIMMY CARTER BLVD STE C2
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1514
Practice Address - Country:US
Practice Address - Phone:470-991-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR066537111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor