Provider Demographics
NPI:1356589238
Name:SNELLENBERGER, ANTHONY CHRISTIAN (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:CHRISTIAN
Last Name:SNELLENBERGER
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 1:11 CHARLEY HARPER DR SE STE 140
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-1124
Mailing Address - Country:US
Mailing Address - Phone:678-719-0891
Mailing Address - Fax:
Practice Address - Street 1:11 CHARLEY HARPER DR SE STE 140
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-1124
Practice Address - Country:US
Practice Address - Phone:678-719-0891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002415A111N00000X
GACHIRO10109111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN$$$$$$$$$OtherTIN