Provider Demographics
NPI:1518171263
Name:ZABOWSKI, RICHARD CAROL (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CAROL
Last Name:ZABOWSKI
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 1:2164 YORK RIVER WAY
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-3242
Mailing Address - Country:US
Mailing Address - Phone:770-237-2045
Mailing Address - Fax:
Practice Address - Street 1:2055 BEAVER RUIN RD STE M
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-3650
Practice Address - Country:US
Practice Address - Phone:770-237-2045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor