Provider Demographics
NPI:1518089275
Name:BEAROR, ROBERT NATHAN
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:NATHAN
Last Name:BEAROR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 WOODSTOCK RD
Mailing Address - Street 2:SUITE 705
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-2277
Mailing Address - Country:US
Mailing Address - Phone:678-585-9956
Mailing Address - Fax:678-585-9957
Practice Address - Street 1:885 WOODSTOCK RD
Practice Address - Street 2:SUITE 705
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-2277
Practice Address - Country:US
Practice Address - Phone:678-585-9956
Practice Address - Fax:678-585-9957
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO06673111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor