MEDICARE: DR. ALAN NEIL BECKERMAN 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	CHIR002011	GA

General Provider Information

NPI Number	:	1417075730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN NEIL BECKERMAN D.C.

Provider Business Mailing Address
First Line	:	4405 NORTHSIDE PKWY NW
Second Line	:	SUITE 2103 A
City	:	ATLANTA
State	:	GA
Zip	:	30327-5202
Country	:	US
Telephone Number	:	404-869-7678
Fax Number	:	404-869-7658

Provider Business Practice Location Address
First Line	:	4405 NORTHSIDE PKWY NW
Second Line	:	SUITE 2103 A
City	:	ATLANTA
State	:	GA
Zip	:	30327-5202
Country	:	US
Telephone Number	:	404-869-7678
Fax Number	:	404-869-7658

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	04/21/2011

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