Basic Information
| Provider Information | |||||||||
| NPI: | 1871899963 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLEMMING | ||||||||
| FirstName: | ANGELIA | ||||||||
| MiddleName: | CHERONDA | ||||||||
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| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 923 DILL AVE. | ||||||||
| Address2: | SPARLIN HEALTH CARE, LLC | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047533141 | ||||||||
| FaxNumber: | 4047561070 | ||||||||
| Practice Location | |||||||||
| Address1: | 923 DILL AVE SW | ||||||||
| Address2: | SPARLIN HEALTH CARE, LLC | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303104145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047533141 | ||||||||
| FaxNumber: | 4047561070 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2011 | ||||||||
| LastUpdateDate: | 02/07/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | CHIR008775 | GA | Y | Chiropractic Providers | Chiropractor |
No ID Information.