Provider Demographics
NPI:1538261284
Name:SHEARER, ERIC A (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:A
Last Name:SHEARER
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 1:357 HIGHWAY 74 N
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-3964
Mailing Address - Country:US
Mailing Address - Phone:770-632-1995
Mailing Address - Fax:770-486-0024
Practice Address - Street 1:105 GREENCASTLE RD STE B
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:GA
Practice Address - Zip Code:30290-2945
Practice Address - Country:US
Practice Address - Phone:770-632-1995
Practice Address - Fax:770-486-0024
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS-4071111N00000X
GACHIR008544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS023729Medicare ID - Type Unspecified