MEDICARE: ADVANCED CHIROPRACTIC, 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	261Q00000X	Clinic/Center	CHIR001561	GA

General Provider Information

NPI Number	:	1891895009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CHIROPRACTIC, PC

Provider Business Mailing Address
First Line	:	2738 CLAIRMONT RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2713
Country	:	US
Telephone Number	:	404-636-6500
Fax Number	:	404-636-6072

Provider Business Practice Location Address
First Line	:	2738 CLAIRMONT RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2713
Country	:	US
Telephone Number	:	404-636-6500
Fax Number	:	404-636-6072

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID AYERS BEATTY
Credential	:	D.C.
Telephone Number	:	404-636-6500

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	10/26/2011

Similar Medicare Providers

1871685842 — DR. DAVID AYERS BEATTY D.C.
Practice Location Address:

2738 CLAIRMONT RD NE
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1366590473 — DR. GARY EDWARD POLIZZOTTO DC
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1942428545 — DR. CINDY BOGDANOFF DDS
Practice Location Address:

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1174711071 — ATLANTA URGENT CARE, LLC
Practice Location Address:

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Practice Location Address:

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