Provider Demographics
NPI:1508860172
Name:TOTH, ROBERT W (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:TOTH
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 1:3767 CHAMBLEE DUNWOODY RD
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-2062
Mailing Address - Country:US
Mailing Address - Phone:770-445-3399
Mailing Address - Fax:770-458-3054
Practice Address - Street 1:3767 CHAMBLEE DUNWOODY RD
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-2062
Practice Address - Country:US
Practice Address - Phone:770-445-3399
Practice Address - Fax:770-458-3054
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU89744Medicare UPIN
GA35ZCGSXMedicare ID - Type Unspecified