MEDICARE: DR. EDWARD SCHNEIDER 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	006487	GA

General Provider Information

NPI Number	:	1912950627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD SCHNEIDER D.C.

Provider Business Mailing Address
First Line	:	749 MORELAND AVE SE
Second Line	:	SUITE C106
City	:	ATLANTA
State	:	GA
Zip	:	30316-7000
Country	:	US
Telephone Number	:	404-627-8998
Fax Number	:	404-591-6890

Provider Business Practice Location Address
First Line	:	749 MORELAND AVE SE
Second Line	:	SUITE C106
City	:	ATLANTA
State	:	GA
Zip	:	30316-7000
Country	:	US
Telephone Number	:	404-627-8998
Fax Number	:	404-591-6890

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	10/03/2012

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