Healthcare Provider Details

I. General information

NPI: 1194985994
Provider Name (Legal Business Name): CHRISTOPHER ROBERT BURDEN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2008
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 WILLEO RD STE 205
ROSWELL GA
30075-6773
US

IV. Provider business mailing address

9420 WILLEO RD STE 205
ROSWELL GA
30075-6773
US

V. Phone/Fax

Practice location:
  • Phone: 770-376-0577
  • Fax:
Mailing address:
  • Phone: 770-376-0577
  • Fax: 770-376-0577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR009080
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: