Provider Demographics
NPI:1467618009
Name:THE SAUL CLINIC OF CHIROPRACTIC
Entity Type:Organization
Organization Name:THE SAUL CLINIC OF CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SAUL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-252-0014
Mailing Address - Street 1:6667 VERNON WOODS DR
Mailing Address - Street 2:SUITE B-27
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3215
Mailing Address - Country:US
Mailing Address - Phone:404-252-0014
Mailing Address - Fax:
Practice Address - Street 1:6667 VERNON WOODS DR
Practice Address - Street 2:SUITE B-27
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3215
Practice Address - Country:US
Practice Address - Phone:404-252-0014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU70968Medicare UPIN
GA35ZCFHBMedicare PIN