Provider Demographics
NPI:1730111493
Name:BART, DANIEL MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MICHAEL
Last Name:BART
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:6111 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:E202
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328
Mailing Address - Country:US
Mailing Address - Phone:770-698-0909
Mailing Address - Fax:770-698-0904
Practice Address - Street 1:6111 PEACHTREE DUNWOODY RD
Practice Address - Street 2:E202
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:770-698-0909
Practice Address - Fax:770-698-0904
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GACHIR007541111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA200376387OtherPHCS
GA200376387OtherBCBS
GA20-0376387OtherACN
GA5688997OtherFIRST HEALTH
GA20-0376387OtherACN
GAU97472Medicare UPIN