Provider Demographics
NPI:1215154646
Name:YEARWOOD, SHANDREIKA (DC)
Entity type:Individual
Prefix:DR
First Name:SHANDREIKA
Middle Name:
Last Name:YEARWOOD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SHAN
Other - Middle Name:
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:7305 CRANLEIGH ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-8838
Mailing Address - Country:US
Mailing Address - Phone:770-401-2414
Mailing Address - Fax:
Practice Address - Street 1:1000 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-2978
Practice Address - Country:US
Practice Address - Phone:678-538-3862
Practice Address - Fax:678-538-3863
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor