MEDICARE: A TOUCH OF HEALTH, LLC

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	007850	GA

General Provider Information

NPI Number	:	1972973949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A TOUCH OF HEALTH, LLC

Provider Business Mailing Address
First Line	:	6255 BARFIELD RD
Second Line	:	SUITE 145
City	:	ATLANTA
State	:	GA
Zip	:	30328-4319
Country	:	US
Telephone Number	:	404-920-8492
Fax Number	:	404-920-8641

Provider Business Practice Location Address
First Line	:	6255 BARFIELD RD
Second Line	:	SUITE 145
City	:	ATLANTA
State	:	GA
Zip	:	30328-4319
Country	:	US
Telephone Number	:	404-920-8492
Fax Number	:	404-920-8641

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. KATRINA CRYDER
Credential	:	DC
Telephone Number	:	404-920-8492

Provider Enumeration Date	:	10/02/2015
Last Update Date	:	10/02/2015

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