Provider Demographics
NPI:1053497487
Name:WEINIGER, STEVEN P (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:P
Last Name:WEINIGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 OLD ALABAMA RD
Mailing Address - Street 2:SUITE 119-352
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5860
Mailing Address - Country:US
Mailing Address - Phone:770-922-0700
Mailing Address - Fax:
Practice Address - Street 1:1875 OLD ALABAMA RD
Practice Address - Street 2:SUITE 410
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2272
Practice Address - Country:US
Practice Address - Phone:770-922-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA001499111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAT97907Medicare UPIN