Individual
DR. CHAD ALAN VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
920 S MILLEDGE AVE, ATHENS, GA 30605-1334
(706) 546-7700
Mailing address
245 WOODCREST DR, ATHENS, GA 30606-2337
(605) 770-6894
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1310
SD
111N00000X
Chiropractor
Primary
CH10421
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891236139
BLUE CROSS BLUE SHIELD OF GEORGIA, MEDICARE, UNITEDHEALTHCARE, CIGNA
SD
Enumeration date
03/20/2017
Last updated
09/24/2020
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