MEDICARE: DR. CHRISTOPHER OBRIEN

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	CHIR010286	GA

General Provider Information

NPI Number	:	1083341317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER OBRIEN

Provider Business Mailing Address
First Line	:	1005 WEATHERSTONE PKWY STE 220
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-4498
Country	:	US
Telephone Number	:	313-287-0524
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 WEATHERSTONE PKWY STE 220
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-4498
Country	:	US
Telephone Number	:	313-287-0524
Fax Number	:

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

Provider Enumeration Date	:	08/05/2022
Last Update Date	:	08/05/2022

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Directions to “ DR. CHRISTOPHER OBRIEN ” Practice Location

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