MEDICARE: DR. CATHERINE LEIGH ONEILL 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	CHIR008648	GA

General Provider Information

NPI Number	:	1811216401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE LEIGH ONEILL D.C

Provider Business Mailing Address
First Line	:	3003 SKYLAND DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4725
Country	:	US
Telephone Number	:	603-867-7937
Fax Number	:

Provider Business Practice Location Address
First Line	:	4118 CLAIRMONT RD
Second Line	:
City	:	CHAMBLEE
State	:	GA
Zip	:	30341-3237
Country	:	US
Telephone Number	:	603-867-7937
Fax Number	:

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

Provider Enumeration Date	:	05/22/2010
Last Update Date	:	10/09/2012

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