MEDICARE: CHRISTOPHER JOSEPH ALBERTS 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	CHIR008230	GA

General Provider Information

NPI Number	:	1215103361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JOSEPH ALBERTS D.C

Provider Business Mailing Address
First Line	:	1014 PIEDMONT AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3702
Country	:	US
Telephone Number	:	404-876-0550
Fax Number	:	404-585-4879

Provider Business Practice Location Address
First Line	:	1014 PIEDMONT AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3702
Country	:	US
Telephone Number	:	404-876-0550
Fax Number	:	404-585-4879

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

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	06/14/2013

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