MEDICARE: DR. ROBERT WILLIAM BARTZ 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	CHIR009935	GA

General Provider Information

NPI Number	:	1063065316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT WILLIAM BARTZ D.C.

Provider Business Mailing Address
First Line	:	6 CHAUMONT SQ NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-1080
Country	:	US
Telephone Number	:	478-955-4906
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 NORTHSIDE DR NW STE A3
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-2695
Country	:	US
Telephone Number	:	404-351-1800
Fax Number	:

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

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	07/16/2019

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