MEDICARE: DR. SCOTT PERLMAN 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
1	111NN1001X	Nutrition Chiropractor	007091	GA

General Provider Information

NPI Number	:	1346298015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT PERLMAN DC

Provider Business Mailing Address
First Line	:	707 WHITLOCK AVE SW
Second Line	:	STE. E14
City	:	MARIETTA
State	:	GA
Zip	:	30064-3000
Country	:	US
Telephone Number	:	678-797-1104
Fax Number	:	678-797-1125

Provider Business Practice Location Address
First Line	:	707 WHITLOCK AVE SW
Second Line	:	STE. E14
City	:	MARIETTA
State	:	GA
Zip	:	30064-3000
Country	:	US
Telephone Number	:	678-797-1104
Fax Number	:	678-797-1125

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. SCOTT PERLMAN DC” Practice Location

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