Provider Demographics
NPI:1043429210
Name:PARSONS CLINIC OF CHIROPRACTIC PC
Entity Type:Organization
Organization Name:PARSONS CLINIC OF CHIROPRACTIC PC
Other - Org Name:PARSONS SPECIFIC CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-886-0007
Mailing Address - Street 1:6820 KEITH BRIDGE ROAD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-3900
Mailing Address - Country:US
Mailing Address - Phone:770-886-0007
Mailing Address - Fax:770-886-0992
Practice Address - Street 1:6820 KEITH BRIDGE ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30506-3900
Practice Address - Country:US
Practice Address - Phone:770-886-0007
Practice Address - Fax:770-886-0992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005572111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty