MEDICARE: MR. BRENNAN ANTHONY JAMES STAPLETON 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	CHIR066509	GA

General Provider Information

NPI Number	:	1730019894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRENNAN ANTHONY JAMES STAPLETON DC

Provider Business Mailing Address
First Line	:	5310 FALLS DR APT 6215
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30028-3558
Country	:	US
Telephone Number	:	470-309-7511
Fax Number	:

Provider Business Practice Location Address
First Line	:	4245 JOHNS CREEK PKWY STE A
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-9122
Country	:	US
Telephone Number	:	470-309-7511
Fax Number	:

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

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “ MR. BRENNAN ANTHONY JAMES STAPLETON DC” Practice Location

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