MEDICARE: DR. SHARON FRANCES FILLINGAME DC

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	CHIR007590	GA

General Provider Information

NPI Number	:	1770670630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON FRANCES FILLINGAME DC

Provider Business Mailing Address
First Line	:	3331 HAMILTON MILL RD
Second Line	:	SUITE 1104
City	:	BUFORD
State	:	GA
Zip	:	30519-4006
Country	:	US
Telephone Number	:	678-234-4539
Fax Number	:

Provider Business Practice Location Address
First Line	:	3331 HAMILTON MILL RD
Second Line	:	SUITE 1104
City	:	BUFORD
State	:	GA
Zip	:	30519-4006
Country	:	US
Telephone Number	:	678-234-4539
Fax Number	:

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

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