Organization · NPI-2

Active Community Chiropractic, L.L.C.

Clinic/Center · Sandy Springs, GA

NPI number1093028623
StatusActive
Last updated in NPPESJul 25, 2010

Details

NPI
1093028623
Entity type
Organization (NPI-2)
Legal business name
Active Community Chiropractic, L.L.C.
Organization subpart
No
Enumeration date
Jul 25, 2010
Last updated
Jul 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterCHIR008692GAYes

Practice location

5975 Roswell Rd Ne
Suite A-109
Sandy Springs, GA 30328-4048

Phone 678-628-9925

Mailing address

1695 Terrell Ridge Dr Se
Marietta, GA 30067-6017

Phone 678-628-9925

Authorized official

Hailey Elizabeth Heard
Owner
6786289925

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Sandy Springs, GA