Provider Demographics
NPI:1033647318
Name:HEALTHROCK ENTERPRISE LLC
Entity Type:Organization
Organization Name:HEALTHROCK ENTERPRISE LLC
Other - Org Name:HEALTHROCK CHIROPRACTIC & SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JINJIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:DC MS CCSP CCEP
Authorized Official - Phone:404-903-3680
Mailing Address - Street 1:6110 MCFARLAND STATION DR UNIT 301
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-6806
Mailing Address - Country:US
Mailing Address - Phone:470-839-8686
Mailing Address - Fax:470-839-8686
Practice Address - Street 1:6110 MCFARLAND STATION DR UNIT 301
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-6806
Practice Address - Country:US
Practice Address - Phone:470-839-8686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-31
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008932111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty