Provider Demographics
NPI:1891091856
Name:SWEET APPLE HEALTH GROUP
Entity Type:Organization
Organization Name:SWEET APPLE HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:K
Authorized Official - Last Name:GEBHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-645-9595
Mailing Address - Street 1:11040 CRABAPPLE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-2457
Mailing Address - Country:US
Mailing Address - Phone:770-645-9595
Mailing Address - Fax:770-645-9522
Practice Address - Street 1:11040 CRABAPPLE RD
Practice Address - Street 2:SUITE B
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-2457
Practice Address - Country:US
Practice Address - Phone:770-645-9595
Practice Address - Fax:770-645-9522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR00752111N00000X
GACHIR007602111N00000X
GA013795208D00000X
GAPT001946225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty