Provider Demographics
NPI:1053782243
Name:SEEBACHER, CYNTHIA (DC)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:
Last Name:SEEBACHER
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 1:4401 OLD MABRY RD NE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-1939
Mailing Address - Country:US
Mailing Address - Phone:404-838-8985
Mailing Address - Fax:404-850-8645
Practice Address - Street 1:2820 LASSITER RD # A
Practice Address - Street 2:SUITE A-150
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8332
Practice Address - Country:US
Practice Address - Phone:404-838-8985
Practice Address - Fax:404-850-8645
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-13
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009590111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor