Dr. David Odorisio, D.C.
Chiropractor in McDonough, GA. Individual provider (NPI-1).
NPI number1629499488
StatusActive
Last updated in NPPESNov 26, 2018
Details
- NPI
- 1629499488
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Odorisio
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2013
- Last updated
- Nov 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIR009227 | GA | Yes |
Practice location
1727 Highway 42 NMcDonough, GA 30253
Phone 770-674-6387 · Fax 770-898-3670
Mailing address
1727 Highway 42 NMcDonough, GA 30253-4725
Phone 770-898-3670
Other practice locations
1727 Highway 42 N
McDonough, GA 30253
McDonough, GA 30253
Phone 770-674-6387 · Fax 770-898-3670
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