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NPI Code Detail

MEDICARE: DR. BRENT BERTSCHINGER DC

MEDICARE:  DR. BRENT  BERTSCHINGER  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
1111N00000XChiropractorCHIR010026GA

General Provider Information

NPI Number : 1306340724
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRENT BERTSCHINGER DC
Provider Business Mailing Address
First Line : 4144 CLAIRMONT RD
Second Line :
City : CHAMBLEE
State : GA
Zip : 30341-3237
Country : US
Telephone Number : 770-451-0799
Fax Number :
Provider Business Practice Location Address
First Line : 4144 CLAIRMONT RD
Second Line :
City : CHAMBLEE
State : GA
Zip : 30341-3237
Country : US
Telephone Number : 770-451-0799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 03/20/2018

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Directions to “ DR. BRENT BERTSCHINGER DC” Practice Location

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