Healthcare Provider Details
I. General information
NPI: 1134321409
Provider Name (Legal Business Name): ADVANCED THERAPEUTICS INT'L LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5825 GLENRIDGE DR NE STE 2-102
SANDY SPRINGS GA
30328-5361
US
IV. Provider business mailing address
5825 GLENRIDGE DR NE STE 2-102
SANDY SPRINGS GA
30328-5361
US
V. Phone/Fax
- Phone: 404-591-6111
- Fax: 404-591-6890
- Phone: 404-591-6111
- Fax: 404-591-6890
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
EDWARD
SCHNEIDER
Title or Position: PRESIDENT
Credential: DC
Phone: 404-591-6111