IndividualActive
Robert Portillo, D.C.
NPI 1306996731 · Sports Physician Chiropractor · Canton, GA
Provider details
- NPI number
- 1306996731
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- CHIR007986 (GA)
Specialties & taxonomies
Chiropractic Providers
Practice location
3755 Sixes Rd Ste 100
Canton, GA 30114-7856
Phone: (770) 704-4580
Fax: (770) 704-9142
Approximate (ZIP-level) locationGet directions
Mailing address
3755 Sixes Rd Ste 100
Canton, GA 30114-7856
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2019-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.