Provider Demographics
NPI:1184708646
Name:SADRI, HAMID L (DC)
Entity type:Individual
Prefix:DR
First Name:HAMID
Middle Name:L
Last Name:SADRI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1423 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1527
Mailing Address - Country:US
Mailing Address - Phone:404-377-0011
Mailing Address - Fax:404-377-0760
Practice Address - Street 1:1423 CHURCH ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1527
Practice Address - Country:US
Practice Address - Phone:404-377-0011
Practice Address - Fax:404-377-0760
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR002615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor