Healthcare Provider Details

I. General information

NPI: 1265347561
Provider Name (Legal Business Name): JILLIAN SWEENEY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 NORTHCHASE PKWY SE STE 125
MARIETTA GA
30067-6415
US

IV. Provider business mailing address

2281 AKERS MILL RD SE APT 1415
ATLANTA GA
30339-2631
US

V. Phone/Fax

Practice location:
  • Phone: 770-664-4288
  • Fax:
Mailing address:
  • Phone: 586-651-8865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR066745
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: