Provider Demographics
NPI:1174836472
Name:BAER, SHERRY L (DC)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:L
Last Name:BAER
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 1:180 MICHAELA DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-3424
Mailing Address - Country:US
Mailing Address - Phone:770-815-3726
Mailing Address - Fax:
Practice Address - Street 1:180 MICHAELA DR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-3424
Practice Address - Country:US
Practice Address - Phone:770-815-3726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006219111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor