Provider Demographics
NPI:1003921321
Name:CAREY, DALE ADRIAN (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:ADRIAN
Last Name:CAREY
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 FLAGSTONE LN SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-2709
Mailing Address - Country:US
Mailing Address - Phone:770-973-4667
Mailing Address - Fax:
Practice Address - Street 1:2551 ROSWELL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-4762
Practice Address - Country:US
Practice Address - Phone:770-973-9500
Practice Address - Fax:770-973-6575
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU62131Medicare UPIN