Provider Demographics
NPI:1326258674
Name:GADSDEN, DAVID T (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:T
Last Name:GADSDEN
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 1:1062 MEADOW GRASS LN
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-8509
Mailing Address - Country:US
Mailing Address - Phone:404-353-5419
Mailing Address - Fax:770-423-9356
Practice Address - Street 1:466 MANGET ST SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-2728
Practice Address - Country:US
Practice Address - Phone:770-423-9939
Practice Address - Fax:770-423-9356
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005684111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor