MEDICARE: HEALTHSPRING HOLISTIC CENTER, PC

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	2544	GA

General Provider Information

NPI Number	:	1790015006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHSPRING HOLISTIC CENTER, PC

Provider Business Mailing Address
First Line	:	3802 N DRUID HILLS RD
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-3015
Country	:	US
Telephone Number	:	404-486-9644
Fax Number	:	404-486-9643

Provider Business Practice Location Address
First Line	:	3802 N DRUID HILLS RD
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-3015
Country	:	US
Telephone Number	:	404-486-9644
Fax Number	:	404-486-9643

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JANEAH SAADEH
Credential	:	DC
Telephone Number	:	404-486-9644

Provider Enumeration Date	:	01/08/2010
Last Update Date	:	01/08/2010

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