MEDICARE: FIVE POINTS CHIROPRACTIC, P C

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	CHIR002957	GA

General Provider Information

NPI Number	:	1437497252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIVE POINTS CHIROPRACTIC, P C

Provider Business Mailing Address
First Line	:	920 S MILLEDGE AVE
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30605-1334
Country	:	US
Telephone Number	:	706-546-7700
Fax Number	:	706-548-4518

Provider Business Practice Location Address
First Line	:	920 S MILLEDGE AVE
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30605-1334
Country	:	US
Telephone Number	:	706-546-7700
Fax Number	:	706-548-4518

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL HUPPERT
Credential	:	D C
Telephone Number	:	706-546-7700

Provider Enumeration Date	:	01/29/2013
Last Update Date	:	06/03/2013

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