Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT A. PORTILLO, D.C.
ActiveDR. ROBERT A. PORTILLO, D.C. is a Sports Physician (Chiropractor) healthcare provider located in CANTON, Georgia. NPI 1306996731 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · CANTON, GA
Registration Details
- NPI Number
- 1306996731
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2007 (19.410221725075 yrs)
- Last Updated
- Nov 20, 2019
- License
-
CHIR007986 (GA)
Practice Information
- Address
-
3755 SIXES RD STE 100CANTON, GA, 301147856Browse GA providers · Browse ZIP 30114
- Phone
- 7707044580
- Fax
- 7707049142
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.