MEDICARE: DR. SHEENA MARIE ACKER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIR010458	GA

General Provider Information

NPI Number	:	1073196903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEENA MARIE ACKER DC

Provider Business Mailing Address
First Line	:	301 MEMORIAL DR SE UNIT 409
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-2120
Country	:	US
Telephone Number	:	601-672-1672
Fax Number	:

Provider Business Practice Location Address
First Line	:	1195 MILTON TER SE APT 1202
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-2426
Country	:	US
Telephone Number	:	404-839-4566
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2021
Last Update Date	:	04/29/2021

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Directions to “ DR. SHEENA MARIE ACKER DC” Practice Location

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