Provider Demographics
NPI:1811083140
Name:SATTERWHITE, THOMAS (DC, CCEP)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:SATTERWHITE
Suffix:
Gender:M
Credentials:DC, CCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9590 MEDLOCK BRIDGE ROAD
Mailing Address - Street 2:SUITE E
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5990
Mailing Address - Country:US
Mailing Address - Phone:770-623-9376
Mailing Address - Fax:770-923-9426
Practice Address - Street 1:9590 MEDLOCK BRIDGE ROAD
Practice Address - Street 2:SUITE E
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-5990
Practice Address - Country:US
Practice Address - Phone:770-623-9376
Practice Address - Fax:770-923-9426
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR004775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCBZMMedicare ID - Type Unspecified