Provider Demographics
NPI:1376219477
Name:SCHANILEC, SARAH (DC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SCHANILEC
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 1:5071 PEACHTREE IND BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-2780
Mailing Address - Country:US
Mailing Address - Phone:678-205-1219
Mailing Address - Fax:404-320-6073
Practice Address - Street 1:5071 PEACHTREE IND BLVD STE 400
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-2780
Practice Address - Country:US
Practice Address - Phone:678-205-1219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010471111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor