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NPI Code Detail

MEDICARE: DR. JERRY SCHINDLER DC

MEDICARE: DR. JERRY SCHINDLER DC
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
1111N00000XChiropractor004714GA

General Provider Information

NPI Number : 1083855233
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JERRY SCHINDLER DC
Provider Business Mailing Address
First Line : 3455 PEACHTREE RD NE
Second Line : SUITE 175
City : ATLANTA
State : GA
Zip : 30326-3254
Country : US
Telephone Number : 404-841-3600
Fax Number : 404-841-3601
Provider Business Practice Location Address
First Line : 3455 PEACHTREE RD NE
Second Line : SUITE 175
City : ATLANTA
State : GA
Zip : 30326-3254
Country : US
Telephone Number : 404-841-3600
Fax Number : 404-841-3601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2009
Last Update Date : 03/18/2009

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