Provider Demographics
NPI:1356229637
Name:MCBRIDE-FAIETA, SHALEIGH RYANNE (DC)
Entity type:Individual
Prefix:DR
First Name:SHALEIGH
Middle Name:RYANNE
Last Name:MCBRIDE-FAIETA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SHALEIGH
Other - Middle Name:RYANNE
Other - Last Name:MCBRIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:5422 CUMMING HWY STE 1A
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-7027
Mailing Address - Country:US
Mailing Address - Phone:678-482-4400
Mailing Address - Fax:
Practice Address - Street 1:5422 CUMMING HWY STE 1A
Practice Address - Street 2:
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518-7027
Practice Address - Country:US
Practice Address - Phone:678-482-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010799111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor