MEDICARE: DR. ADAM DAVID TOULON D.C., FACFN

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	CHIR007616	GA
2	111N00000X	Chiropractor	10019	FL
3	111N00000X	Chiropractor	29781	CA
4	111NN0400X	Neurology Chiropractor	10019	FL
5	111NN0400X	Neurology Chiropractor	29781	CA
6	111NN0400X	Neurology Chiropractor	007616	GA

General Provider Information

NPI Number	:	1093798688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM DAVID TOULON D.C., FACFN

Provider Business Mailing Address
First Line	:	3053 GREYFIELD PLACE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067
Country	:	US
Telephone Number	:	404-932-3302
Fax Number	:	770-792-6113

Provider Business Practice Location Address
First Line	:	3053 GREYFIELD PLACE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067
Country	:	US
Telephone Number	:	404-932-3302
Fax Number	:	770-792-6113

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

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	10/20/2010

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Directions to “ DR. ADAM DAVID TOULON D.C., FACFN” Practice Location

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