Provider Demographics
NPI:1770670630
Name:FILLINGAME, SHARON FRANCES (DC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:FRANCES
Last Name:FILLINGAME
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3331 HAMILTON MILL RD
Mailing Address - Street 2:SUITE 1104
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-4006
Mailing Address - Country:US
Mailing Address - Phone:678-234-4539
Mailing Address - Fax:
Practice Address - Street 1:3331 HAMILTON MILL RD
Practice Address - Street 2:SUITE 1104
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4006
Practice Address - Country:US
Practice Address - Phone:678-234-4539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007590111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor