MEDICARE: DR. CHRISTOPHER LEWIS HOLMES 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	CHIR00008964	GA
2	111NR0400X	Rehabilitation Chiropractor	CHIR00008964	GA
3	111NS0005X	Sports Physician Chiropractor	CHIR00008964	GA

General Provider Information

NPI Number	:	1861833287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER LEWIS HOLMES D.C.

Provider Business Mailing Address
First Line	:	749 MORELAND AVE SE
Second Line	:	#C-106
City	:	ATLANTA
State	:	GA
Zip	:	30316-7000
Country	:	US
Telephone Number	:	404-627-8998
Fax Number	:	404-627-8970

Provider Business Practice Location Address
First Line	:	749 MORELAND AVE SE
Second Line	:	#C-106
City	:	ATLANTA
State	:	GA
Zip	:	30316-7000
Country	:	US
Telephone Number	:	404-627-8998
Fax Number	:	404-627-8970

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

Provider Enumeration Date	:	07/14/2013
Last Update Date	:	07/14/2013

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Directions to “ DR. CHRISTOPHER LEWIS HOLMES D.C.” Practice Location

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