MEDICARE: DR. ERIKA L RATCLIFFE 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
1	111NR0400X	Rehabilitation Chiropractor	5365	GA
2	111NR0400X	Rehabilitation Chiropractor	1885	SC
3	111NR0400X	Rehabilitation Chiropractor	CH7169	FL
4	111NR0400X	Rehabilitation Chiropractor	2874	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710192240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIKA L RATCLIFFE D.C.

Provider Business Mailing Address
First Line	:	910 ATHENS HWY STE J-10
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-4952
Country	:	US
Telephone Number	:	770-554-5400
Fax Number	:	770-554-5401

Provider Business Practice Location Address
First Line	:	910 ATHENS HWY STE J-10
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-4952
Country	:	US
Telephone Number	:	770-554-5400
Fax Number	:	770-554-5401

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/09/2007

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