Provider Demographics
NPI:1003040460
Name:DAY CHIROPRACTIC AND MASSAGE THERAPY, P.C.
Entity Type:Organization
Organization Name:DAY CHIROPRACTIC AND MASSAGE THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:912-351-3644
Mailing Address - Street 1:7505 WATERS AVE
Mailing Address - Street 2:SUITE B-9
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3825
Mailing Address - Country:US
Mailing Address - Phone:912-351-3644
Mailing Address - Fax:912-401-0590
Practice Address - Street 1:7505 WATERS AVE
Practice Address - Street 2:SUITE B-9
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3825
Practice Address - Country:US
Practice Address - Phone:912-351-3644
Practice Address - Fax:912-401-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR002704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
35ZCDWVMedicare PIN