MEDICARE: DR. FAHEEM NASIR 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	111N00000X	Chiropractor	CHIR008044	GA

General Provider Information

NPI Number	:	1477646057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FAHEEM NASIR DC

Provider Business Mailing Address
First Line	:	2947 THISTLEDOWN CT
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30034-3442
Country	:	US
Telephone Number	:	678-459-4268
Fax Number	:	404-458-3457

Provider Business Practice Location Address
First Line	:	1 BALTIMORE PL NW STE A-1
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2116
Country	:	US
Telephone Number	:	678-459-4268
Fax Number	:	404-458-3457

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	04/22/2015

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Directions to “ DR. FAHEEM NASIR DC” Practice Location

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