Brandon Kenneth McAlister, D.C.
Individual provider Active NPI Chiropractor · Oakwood, GA
NPI 1366565657 · NPPES record last updated Mar 23, 2016
Key facts
- NPI
- 1366565657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR009633 (GA)
- Practice address
- 4218B McEver Rd
Oakwood, GA 30566-2237 - Phone
- (770) 503-1700
- Fax
- (770) 503-1781
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3242 | SC | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009633 | GA | Yes |
Addresses
Primary practice location
4218B McEver Rd
Oakwood, GA 30566-2237
Mailing address
4218B McEver Rd
Oakwood, GA 30566-2237
Phone (770) 503-1700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH3242 | Medicaid | SC |
Other providers in Oakwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.