Provider Demographics
NPI:1790060184
Name:HEITMAN, CHRISTOPHER BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BRIAN
Last Name:HEITMAN
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 1:5070 PEACHTREE BLVD STE E170
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-3010
Mailing Address - Country:US
Mailing Address - Phone:770-392-9299
Mailing Address - Fax:770-727-8136
Practice Address - Street 1:5070 PEACHTREE BLVD STE E170
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-3010
Practice Address - Country:US
Practice Address - Phone:770-392-9299
Practice Address - Fax:770-727-8136
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009875111N00000X
GACHIR008879111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor