Healthcare Provider Details

I. General information

NPI: 1134151269
Provider Name (Legal Business Name): JOSEPH ADAM HANS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4870 PEACHTREE INDUSTRIAL BLVD STE 100
BERKELEY LAKE GA
30071-5742
US

IV. Provider business mailing address

4870 PEACHTREE INDUSTRIAL BLVD STE 100
BERKELEY LAKE GA
30071-5742
US

V. Phone/Fax

Practice location:
  • Phone: 770-800-2222
  • Fax: 770-622-9390
Mailing address:
  • Phone: 770-800-2222
  • Fax: 770-622-9390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6340
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: