MEDICARE: DR. CHANTEL COLMER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIR007362	GA
2	111N00000X	Chiropractor	007362	GA

General Provider Information

NPI Number	:	1043285505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHANTEL COLMER D.C.

Provider Business Mailing Address
First Line	:	1869 E MAIN ST STE B
Second Line	:
City	:	HOGANSVILLE
State	:	GA
Zip	:	30230-2787
Country	:	US
Telephone Number	:	706-637-1114
Fax Number	:	706-637-1124

Provider Business Practice Location Address
First Line	:	1869 E MAIN ST STE B
Second Line	:
City	:	HOGANSVILLE
State	:	GA
Zip	:	30230-2787
Country	:	US
Telephone Number	:	706-637-1114
Fax Number	:	706-637-1124

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	04/01/2024

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