MEDICARE: DR. ALFREDO GARCIA 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	111N00000X	Chiropractor	CHIR007088	GA

General Provider Information

NPI Number	:	1760538573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFREDO GARCIA D.C.

Provider Business Mailing Address
First Line	:	1177 FAWN MEADOW DR
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-6958
Country	:	US
Telephone Number	:	770-439-4608
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 HAMMOND DR NE
Second Line	:	SUITE 201
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-5032
Country	:	US
Telephone Number	:	404-256-0114
Fax Number	:	404-256-0167

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

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. ALFREDO GARCIA D.C.” Practice Location

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