MEDICARE: DR. JEFFERY SCOTT BELUE 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	CHIR005768	GA

General Provider Information

NPI Number	:	1982756060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFERY SCOTT BELUE DC

Provider Business Mailing Address
First Line	:	1512 PIEDMONT AVENUE NE
Second Line	:	SUITE 201
City	:	ATLANTA
State	:	GA
Zip	:	30324
Country	:	US
Telephone Number	:	404-872-4476
Fax Number	:	404-872-0204

Provider Business Practice Location Address
First Line	:	1512 PIEDMONT AVENUE NE
Second Line	:	SUITE 201
City	:	ATLANTA
State	:	GA
Zip	:	30324
Country	:	US
Telephone Number	:	404-872-4476
Fax Number	:	404-872-0204

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

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/08/2007

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