MEDICARE: INTEGRATED CHIROPRACTIC

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	CHIR005356	GA

General Provider Information

NPI Number	:	1659411007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED CHIROPRACTIC

Provider Business Mailing Address
First Line	:	2964 PEACHTREE RD NW
Second Line	:	SUITE 105
City	:	ATLANTA
State	:	GA
Zip	:	30305-2153
Country	:	US
Telephone Number	:	404-231-8770
Fax Number	:	404-231-8760

Provider Business Practice Location Address
First Line	:	2964 PEACHTREE RD NW
Second Line	:	SUITE 105
City	:	ATLANTA
State	:	GA
Zip	:	30305-2153
Country	:	US
Telephone Number	:	404-231-8770
Fax Number	:	404-231-8760

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID L. OLT
Credential	:	DC
Telephone Number	:	404-231-8770

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1043326598 — DAVID L. OLT D.C.
Practice Location Address:

2964 PEACHTREE RD NW , SUITE 105
ATLANTA, GA
30305-2153

Practice Phone: 404-231-8770
Practice Fax: 404-231-8760

1255547469 — MS. ELLEN HARRIS MARMON MS, LPC
Practice Location Address:

2964 PEACHTREE RD NW , SUITE 620
ATLANTA, GA
30305-2153

Practice Phone: 404-219-1679
Practice Fax: 404-521-4709

1740487941 — GAIL ALLISON PHILLIPS LCSW
Practice Location Address:

2964 PEACHTREE RD NW , SUITE 510
ATLANTA, GA
30305-2153

Practice Phone: 404-982-9010
Practice Fax:

1629265319 — SHENA LEVERETT BROWN LCSW, MSW
Practice Location Address:

2964 PEACHTREE RD NW , SUITE 510
ATLANTA, GA
30305-2153

Practice Phone: 770-403-2907
Practice Fax: 770-987-9757

1912146515 — OSCAR SIERRA L.AC.
Practice Location Address:

2964 PEACHTREE RD NW , STE. 350
ATLANTA, GA
30305-2153

Practice Phone: 678-361-6523
Practice Fax:

1376858100 — GROW HEAL LIVE LEAD LLC
Practice Location Address:

2964 PEACHTREE RD NW , SUITE 760
ATLANTA, GA
30305-2153

Practice Phone: 678-463-1092
Practice Fax:

Directions to “INTEGRATED CHIROPRACTIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.