Provider Demographics
NPI:1699848044
Name:CLINE, MICHAEL STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:STEVEN
Last Name:CLINE
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 1:7395 HODGSON MEMORIAL DR
Mailing Address - Street 2:STE 101
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-1505
Mailing Address - Country:US
Mailing Address - Phone:912-920-3900
Mailing Address - Fax:912-921-0503
Practice Address - Street 1:7395 HODGSON MEMORIAL DR
Practice Address - Street 2:STE 101
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-1505
Practice Address - Country:US
Practice Address - Phone:912-920-3900
Practice Address - Fax:912-921-0503
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6267111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU94647Medicare UPIN
GA35ZCHFSMedicare ID - Type Unspecified