Provider Demographics
NPI:1750666236
Name:OBERSTER, CARRIE ANN (DC)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:OBERSTER
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 1:5008 N HENRY BLVD
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-3561
Mailing Address - Country:US
Mailing Address - Phone:770-506-7788
Mailing Address - Fax:770-506-7744
Practice Address - Street 1:5008 N HENRY BLVD
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-3561
Practice Address - Country:US
Practice Address - Phone:770-506-7788
Practice Address - Fax:770-506-7744
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor