Organization · NPI-2

Advanced Chiropractic, PC

Clinic/Center · Atlanta, GA

NPI number1891895009
StatusActive
Last updated in NPPESOct 26, 2011

Details

NPI
1891895009
Entity type
Organization (NPI-2)
Legal business name
Advanced Chiropractic, PC
Organization subpart
No
Enumeration date
Sep 25, 2006
Last updated
Oct 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterCHIR001561GAYes

Practice location

2738 Clairmont Rd Ne
Atlanta, GA 30329-2713

Phone 404-636-6500 · Fax 404-636-6072

Mailing address

2738 Clairmont Rd Ne
Atlanta, GA 30329-2713

Phone 404-636-6500 · Fax 404-636-6072

Authorized official

David Ayers Beatty
Owner
4046366500

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