Provider Demographics
NPI:1033417365
Name:ABDUS-SAMAD, DAWN CHRISTINA (DC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:CHRISTINA
Last Name:ABDUS-SAMAD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 GREENBRIAR PKWY SW STE A3
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2614
Mailing Address - Country:US
Mailing Address - Phone:404-629-9999
Mailing Address - Fax:404-629-9440
Practice Address - Street 1:2740 GREENBRIAR PKWY SW STE A3
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2614
Practice Address - Country:US
Practice Address - Phone:404-629-9999
Practice Address - Fax:404-629-9440
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008759111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor