MEDICARE: CHARLOTTE BLANCHET

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	CHIR009158	GA

General Provider Information

NPI Number	:	1700204013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE BLANCHET

Provider Business Mailing Address
First Line	:	6101 INDIAN WOOD CIR SE
Second Line	:
City	:	MABLETON
State	:	GA
Zip	:	30126-2964
Country	:	US
Telephone Number	:	404-787-2237
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 NORTHSIDE DR NW
Second Line	:	A3
City	:	ATLANTA
State	:	GA
Zip	:	30318-2673
Country	:	US
Telephone Number	:	404-351-1800
Fax Number	:

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

Provider Enumeration Date	:	04/03/2014
Last Update Date	:	09/30/2025

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Directions to “ CHARLOTTE BLANCHET ” Practice Location

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