Provider Demographics
NPI:1104826270
Name:APPELBAUM, JEFF M (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:M
Last Name:APPELBAUM
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 1:74 HIGHWAY 48
Mailing Address - Street 2:P.O. BOX 424
Mailing Address - City:SUMMERVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30747-1512
Mailing Address - Country:US
Mailing Address - Phone:706-857-4911
Mailing Address - Fax:706-857-6560
Practice Address - Street 1:74 HIGHWAY 48
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:GA
Practice Address - Zip Code:30747-1512
Practice Address - Country:US
Practice Address - Phone:706-857-4911
Practice Address - Fax:706-857-6560
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00806264AMedicaid
GAU66982Medicare UPIN
GA00806264AMedicaid