Provider Demographics
NPI:1245715226
Name:SOBEL, BARBARA LYNN (DC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:SOBEL
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 1:4425 S COBB DR SE STE G
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6369
Mailing Address - Country:US
Mailing Address - Phone:770-444-9191
Mailing Address - Fax:
Practice Address - Street 1:1050 E PIEDMONT RD STE 150
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-0903
Practice Address - Country:US
Practice Address - Phone:770-450-8686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006778111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor