DR. MARK CHRISTIAN LIEDBERG (NPI# 1265647374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265647374 |
| Entity Type | Individual |
| Full Name | DR. MARK CHRISTIAN LIEDBERG |
| Credential | D.C. |
| Practice Address |
4467 Highway 136 West Trenton GA 30752-0799 |
| Mailing Address |
Po Box 799 Highway 136 West Trenton GA 30752-0799 |
| Practice Telephone | 7066577581 |
| Practice Fax Number | 7066572080 |
| Mailing Telephone | 7066577581 |
| Mailing Fax Number | 7066572080 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIRO002739 | GA | Chiropractic Providers |
| Street Address |
4467 HIGHWAY 136 WEST |
| City | TRENTON |
| State | GA |
| Zip Code | 30752-0799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126492 | Frederic Oehlschlaeger | Pharmacist | 5431 Ga-136, Trenton, GA 30752 | 2019-10-25 |
| 1649700212 | Lisa Michelle Stephans | Counselor | 12586 North Main Street, Trenton, GA 30752 | 2017-06-15 |
| 1881019305 | Crystal L Hancock | Nurse Practitioner | 12978 North Main Street, Trenton, GA 30752 | 2014-02-20 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1699021360 | Megan Hall Nunn | Pharmacist | 112 Crimson Drive, Trenton, GA 30752 | 2012-07-31 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1184783771 | Cindy Marie Simmons | Physician Assistant | 111 North Pine Street, Trenton, GA 30752 | 2006-12-08 |
| 1124190962 | Lookout Mountain Community Services | Community/Behavioral Health | 12580 North Main St., Trenton, GA 30752 | 2006-11-15 |
| 1386725893 | Dade County Board of Health | Public Health or Welfare | 71 Case Ave, Suite H100, Trenton, GA 30752 | 2006-10-18 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| Find all providers in zip 30752 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789332 | Capital Chiropractic and Pain Management | Chiropractor | 833 Cass Street 1st Floor, Trenton, NJ 08611 | 2019-06-19 |
| 1255686192 | Ashley Nicole Simpson | Chiropractor | 115 W Jones St, Trenton, NC 28585-7599 | 2012-07-17 |
| 1053693309 | Ethan Michael Cross | Chiropractor | 1200 E 9th St, Trenton, MO 64683-2626 | 2011-09-13 |
| 1679860498 | James Cason Durham | Chiropractor | 12605 N Main St, Trenton, GA 30752-2220 | 2011-06-30 |
| 1639323967 | Kyle Gene Mcbride | Chiropractor | 2064 Us Highway 45 Byp S, Trenton, TN 38382-3507 | 2008-11-13 |
| 1235394578 | Neuromechanical Pain Management Associates PC | Chiropractor | 1330 Calhoun Street, Suite 2, Trenton, NJ 08638 | 2008-07-25 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1649392473 | Ted O. Angel | Chiropractor | 747 Oak Point Rd, Trenton, ME 04605-6218 | 2007-04-04 |
| 1447374483 | Horace Samuels | Chiropractor | 713 Greenwood Ave, Suite 100, Trenton, NJ 08609-1401 | 2007-03-16 |
| 1477687358 | William Alexander Fotiou | Chiropractor | 502 Liberty St, Trenton, NJ 08611-1420 | 2007-03-15 |
| Find all providers in TRENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.