MEDICARE: HURST CHIROPRACTIC

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	008114	GA

General Provider Information

NPI Number	:	1982803326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HURST CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1401 PEACHTREE ST
Second Line	:	SUITE 160
City	:	ATLANTA
State	:	GA
Zip	:	30309-3023
Country	:	US
Telephone Number	:	404-475-0402
Fax Number	:	404-475-0443

Provider Business Practice Location Address
First Line	:	1401 PEACHTREE ST
Second Line	:	SUITE 160
City	:	ATLANTA
State	:	GA
Zip	:	30309-3023
Country	:	US
Telephone Number	:	404-475-0386
Fax Number	:	404-475-0443

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. BRADY HURST
Credential	:	DC
Telephone Number	:	404-475-0386

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	08/25/2008

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Directions to “HURST CHIROPRACTIC ” Practice Location

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