Provider Demographics
NPI:1811216401
Name:ONEILL, CATHERINE LEIGH (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:LEIGH
Last Name:ONEILL
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 1:3003 SKYLAND DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4725
Mailing Address - Country:US
Mailing Address - Phone:603-867-7937
Mailing Address - Fax:
Practice Address - Street 1:4118 CLAIRMONT RD
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-3237
Practice Address - Country:US
Practice Address - Phone:603-867-7937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-22
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008648111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor