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NPI Code Detail

MEDICARE: DR. PAUL AARON GOLDBERG D.C.

MEDICARE:  DR. PAUL AARON GOLDBERG  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
1111NN1001XNutrition Chiropractor2449GA

General Provider Information

NPI Number : 1437365616
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL AARON GOLDBERG D.C.
Provider Business Mailing Address
First Line : 3672 MEMORIAL PKWY NW
Second Line :
City : KENNESAW
State : GA
Zip : 30152-2438
Country : US
Telephone Number : 770-974-7470
Fax Number :
Provider Business Practice Location Address
First Line : 2480 WINDY HILL RD SE
Second Line : SUITE 203
City : MARIETTA
State : GA
Zip : 30067-8644
Country : US
Telephone Number : 770-974-7470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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Directions to “ DR. PAUL AARON GOLDBERG D.C.” Practice Location

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