Healthcare Provider Details

I. General information

NPI: 1609947167
Provider Name (Legal Business Name): ROBERT P SAXON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 WINDY HILL RD SE STE 0-4
MARIETTA GA
30067-8478
US

IV. Provider business mailing address

3000 WINDY HILL RD SE STE 0-4
MARIETTA GA
30067-8478
US

V. Phone/Fax

Practice location:
  • Phone: 770-988-8884
  • Fax: 770-988-8049
Mailing address:
  • Phone: 770-988-8884
  • Fax: 770-988-8049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberGA003127
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: