MEDICARE: 100 PERCENT CHIROPRACTIC SBERGER LLC

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

General Provider Information

NPI Number	:	1639793664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	100 PERCENT CHIROPRACTIC SBERGER LLC

Provider Business Mailing Address
First Line	:	789 COLSTON RD SW
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-3362
Country	:	US
Telephone Number	:	301-471-4312
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 MARIETTA BLVD
Second Line	:	SUITE 303
City	:	ATLANTA
State	:	GA
Zip	:	30318
Country	:	US
Telephone Number	:	301-471-4312
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. SARAH SEMELSBERGER
Credential	:	DC
Telephone Number	:	301-471-4312

Provider Enumeration Date	:	06/05/2020
Last Update Date	:	06/05/2020

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