MIRELLA PALAZZOLO (NPI# 1356950828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356950828 |
| Entity Type | Individual |
| Full Name | MIRELLA PALAZZOLO |
| Credential | BA, RBT |
| Practice Address |
3100 Five Forks Trickum Rd Sw Ste 203 Lilburn GA 30047-1887 |
| Mailing Address |
1435 Boggs Rd Apt 308 Duluth GA 30096-2387 |
| Practice Telephone | 4704852220 |
| Mailing Telephone | 2298948196 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | RBT-17-46916 | GA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3100 FIVE FORKS TRICKUM RD SW STE 203 |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-1887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219220 | Seaniece Dona Martin | Specialist/Technologist | 3100 Five Forks Trickum Rd Sw Ste 203, Lilburn, GA 30047-1887 | 2020-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184082885 | Amity Jordan | Technician, Other | 1055 Chartley Dr Sw, Lilburn, GA 30047-5477 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436595 | Latalia Y Chambers | Technician, Other | 100 E 19th St Sw Apt B, Rome, GA 30161-6323 | 2020-01-22 |
| 1629543772 | Ashley Keller | Technician, Other | 723b Industrial Park Rd, Evans, GA 30809-3680 | 2018-10-04 |
| 1760962724 | Keysia Johnson | Technician, Other | 907 Fawnfield Dr, Monroe, GA 30656-7010 | 2018-08-20 |
| 1093255192 | Lousy Endings | Technician, Other | 3911 Mary Eliza Trce Nw Ste 250, Marietta, GA 30064-1086 | 2017-03-08 |
| 1962957100 | Ralph Lovett | Technician, Other | 821 E 31st St, Savannah, GA 31401-7701 | 2016-08-17 |
| 1124474143 | One Lab Mobile, LLC | Technician, Other | 2405 Cainwood Ct, Conyers, GA 30094-8203 | 2016-05-09 |
| 1326441205 | Marie Romain | Technician, Other | 4430 Tilly Mill Rd # At1102, Dunwoody, GA 30360-2143 | 2014-10-06 |
| 1902233976 | Joshua Steven Walker | Technician, Other | 2108 Pine St Apt C, Fort Gordon, GA 30905-6211 | 2013-10-04 |
| 1003243593 | David Lee Bedford | Technician, Other | 4756 Billie J Dr, Augusta, GA 30909-9171 | 2013-09-30 |
| 1598192015 | Rebecca Chalker Paden | Technician, Other | 368 W Pike St Ste 107, Lawrenceville, GA 30046-3240 | 2013-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.