MEDICARE: DR. JULIE WEISBERG D.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	CHIRO06328	GA

General Provider Information

NPI Number	:	1811189145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE WEISBERG D.C.

Provider Business Mailing Address
First Line	:	PO BOX 672542
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30006-0043
Country	:	US
Telephone Number	:	770-795-0506
Fax Number	:	770-795-0392

Provider Business Practice Location Address
First Line	:	2727 CANTON RD STE 520
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-5395
Country	:	US
Telephone Number	:	770-795-0506
Fax Number	:	770-795-0506

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

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	08/10/2007

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Directions to “ DR. JULIE WEISBERG D.C.” Practice Location

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