MEDICARE: DR. ABDO IBRAHIM 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	007116	GA

General Provider Information

NPI Number	:	1134441223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDO IBRAHIM DC

Provider Business Mailing Address
First Line	:	777 CLEVELAND AVE SW STE 406
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-7119
Country	:	US
Telephone Number	:	404-763-0132
Fax Number	:	404-763-0135

Provider Business Practice Location Address
First Line	:	777 CLEVELAND AVE SW STE 406
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-7119
Country	:	US
Telephone Number	:	404-763-0132
Fax Number	:	404-763-0135

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

Provider Enumeration Date	:	02/17/2010
Last Update Date	:	02/17/2010

Similar Medicare Providers

1255870119 — DR. DANIEL RIASE DC
Practice Location Address:

777 CLEVELAND AVE SW STE 105
ATLANTA, GA
30315-7119

Practice Phone: 470-575-0123
Practice Fax: 678-649-2135

1134642077 — CHIROPRACTIC HEALTHCARE GROUP LLC
Practice Location Address:

777 CLEVELAND AVE SW STE 105
ATLANTA, GA
30315-7119

Practice Phone: 470-575-0123
Practice Fax: 678-649-2135

1538419981 — PROGRESSIVE SPINAL & REHAB
Practice Location Address:

777 CLEVELAND AVE SW STE 406
ATLANTA, GA
30315-7119

Practice Phone: 770-876-6972
Practice Fax: 770-452-2844

1225929185 — MIR SOLUTIONS INC
Practice Location Address:

777 CLEVELAND AVE SW STE 400
ATLANTA, GA
30315-7119

Practice Phone: 706-231-9700
Practice Fax:

1699634865 — XRX PHARMACY LLC
Practice Location Address:

777 CLEVELAND AVE SW STE 410
ATLANTA, GA
30315-7119

Practice Phone: 954-970-6969
Practice Fax:

1063441012 — VONS COMPANIES INC
Practice Location Address:

8891 ATLANTA AVE
HUNTINGTON BEACH, CA
92646-7119

Practice Phone: 714-960-9640
Practice Fax: 714-960-6507

Directions to “ DR. ABDO IBRAHIM DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.