Provider Demographics
NPI:1073161386
Name:CHIROPRACTIC CENTER OF GEORGETOWN LLP
Entity Type:Organization
Organization Name:CHIROPRACTIC CENTER OF GEORGETOWN LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMMIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-686-7458
Mailing Address - Street 1:1103 WILLIAMS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-4109
Mailing Address - Country:US
Mailing Address - Phone:512-686-7458
Mailing Address - Fax:
Practice Address - Street 1:1103 WILLIAMS DR STE 101
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-4109
Practice Address - Country:US
Practice Address - Phone:512-686-7458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty