Provider Demographics
NPI:1053476937
Name:NADEL, BRETT D (DC)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:D
Last Name:NADEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:12926 HIGHWAY 92
Mailing Address - Street 2:STE 900
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-5195
Mailing Address - Country:US
Mailing Address - Phone:678-388-7670
Mailing Address - Fax:678-388-7671
Practice Address - Street 1:12926 HIGHWAY 92
Practice Address - Street 2:STE 900
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-5195
Practice Address - Country:US
Practice Address - Phone:678-388-7670
Practice Address - Fax:678-388-7671
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GACHIR007866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCJLTMedicare ID - Type Unspecified