MEDICARE: SHILO ENTERPRISES PC

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	CHIR009417	GA

General Provider Information

NPI Number	:	1215398557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHILO ENTERPRISES PC

Provider Business Mailing Address
First Line	:	3829 ROSWELL RD
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-6236
Country	:	US
Telephone Number	:	770-450-1200
Fax Number	:	678-648-5504

Provider Business Practice Location Address
First Line	:	3829 ROSWELL RD
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-6236
Country	:	US
Telephone Number	:	770-450-1200
Fax Number	:	678-648-5504

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT LOVE
Credential	:	DC
Telephone Number	:	770-450-1200

Provider Enumeration Date	:	03/15/2016
Last Update Date	:	07/13/2022

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Directions to “SHILO ENTERPRISES PC ” Practice Location

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