Eric C Tabano, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR006660 Issued in GA

Practice address

5400 Laurel Springs Parkway
Suite 801
Acworth, GA 30024-6096

Phone

(770) 889-4800

Fax

(770) 889-4921

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1174726343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY",
            "address_2": "SUITE 801",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246056",
            "telephone_number": "770-889-4800",
            "fax_number": "770-889-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PARKWAY",
            "address_2": "SUITE 801",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "300246096",
            "telephone_number": "770-889-4800",
            "fax_number": "770-889-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABANO",
        "first_name": "ERIC",
        "middle_name": "C",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR006660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Acworth, GA
• Providers in Acworth, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.