Provider Demographics
NPI:1932435005
Name:STEVEN J GARBER, D.C., P.C.
Entity Type:Organization
Organization Name:STEVEN J GARBER, D.C., P.C.
Other - Org Name:GARBER CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GARBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-386-7707
Mailing Address - Street 1:861 JOE FRANK HARRIS PKWY SE
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-2462
Mailing Address - Country:US
Mailing Address - Phone:770-386-7707
Mailing Address - Fax:770-387-2414
Practice Address - Street 1:861 JOE FRANK HARRIS PKWY SE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2462
Practice Address - Country:US
Practice Address - Phone:770-386-7707
Practice Address - Fax:770-387-2414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR001709111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00581633AMedicaid
350007240OtherRAIL ROAD MEDICARE
350007240OtherRAIL ROAD MEDICARE