Perez Caballero, Gustavo Andre

Perez Caballero, Gustavo Andre is an individual health care provider with primary practice located at 1379 Iris Dr Se , Conyers GA 30013-1768. He recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician, Chiropractic Providers / Orthopedic, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is his primary health care specialty. Perez Caballero, Gustavo Andre can be contacted via phone (404) 964-4985.

Contact Information

Primary practice address
1379 Iris Dr Se Conyers GA 30013-1768
Phone: (404) 964-4985
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIR010551 Georgia
Chiropractic Providers / Sports Physician 111NS0005X CHIR010551 Georgia
Chiropractic Providers / Orthopedic 111NX0800X CHIR010551 Georgia
Chiropractic Providers / Rehabilitation 111NR0400X CHIR010551 Georgia

Profile Details

NPI number 1902572118
LBN Legal business name Perez Caballero, Gustavo Andre
Credentials BS, DC, GTS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2021
Last updated Aug 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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