Provider Demographics
NPI:1235254970
Name:SEIDLER, JAMES TODD (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:TODD
Last Name:SEIDLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2570 KENNESAW DR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-3452
Mailing Address - Country:US
Mailing Address - Phone:404-401-3331
Mailing Address - Fax:
Practice Address - Street 1:2336 WISTERIA DRIVE
Practice Address - Street 2:SUITE 310
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30678-6191
Practice Address - Country:US
Practice Address - Phone:678-301-2225
Practice Address - Fax:678-301-2226
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006763111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation