Healthcare Provider Details

I. General information

NPI: 1578600516
Provider Name (Legal Business Name): ADAM GERALD EISAMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

587 VIRGINIA AVE NE STE #4
ATLANTA GA
30306-3695
US

IV. Provider business mailing address

700 NEW HOPE RD
MARIETTA GA
30067-7845
US

V. Phone/Fax

Practice location:
  • Phone: 404-477-7911
  • Fax: 404-477-0750
Mailing address:
  • Phone: 404-477-7911
  • Fax: 404-477-0750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR007491
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: