Provider Demographics
NPI:1861618019
Name:SALOMONE, SEBASTIEN (DC)
Entity type:Individual
Prefix:DR
First Name:SEBASTIEN
Middle Name:
Last Name:SALOMONE
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:PO BOX 20416
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30325-0416
Mailing Address - Country:US
Mailing Address - Phone:404-351-1800
Mailing Address - Fax:404-351-1040
Practice Address - Street 1:1700 NORTHSIDE DR NW
Practice Address - Street 2:SUITE C3
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2673
Practice Address - Country:US
Practice Address - Phone:404-351-1800
Practice Address - Fax:404-351-1040
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007394111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor