Provider Demographics
NPI:1851703482
Name:SARABI, SALMAN GERAMI (DC)
Entity Type:Individual
Prefix:DR
First Name:SALMAN
Middle Name:GERAMI
Last Name:SARABI
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 1:400 ARGONNE TER
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-4773
Mailing Address - Country:US
Mailing Address - Phone:678-880-7024
Mailing Address - Fax:678-880-9963
Practice Address - Street 1:400 ARGONNE TER
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-4773
Practice Address - Country:US
Practice Address - Phone:678-880-7024
Practice Address - Fax:678-880-9963
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-02
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009179111N00000X
NC4466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCO015E748Medicare PIN