Provider Demographics
NPI:1376639112
Name:SWEAT, MATTHEW H (DC)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:H
Last Name:SWEAT
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 1:3288 CHAMBLEE TUCKER RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341
Mailing Address - Country:US
Mailing Address - Phone:770-457-4430
Mailing Address - Fax:770-454-8328
Practice Address - Street 1:3288 CHAMBLEE TUCKER RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341
Practice Address - Country:US
Practice Address - Phone:770-457-4430
Practice Address - Fax:770-454-8328
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2985111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U28361Medicare UPIN
GA352CBXJMedicare ID - Type Unspecified