Provider Demographics
NPI:1073732608
Name:BALANCE ATLANTA, INC
Entity Type:Organization
Organization Name:BALANCE ATLANTA, INC
Other - Org Name:BALANCE ATLANTA FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VON FLUEGGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-261-4848
Mailing Address - Street 1:PO BOX 550369
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30355-2869
Mailing Address - Country:US
Mailing Address - Phone:404-261-4848
Mailing Address - Fax:404-261-4846
Practice Address - Street 1:360 PHARR RD, LOWEL LEVEL 101, SUITE C
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2350
Practice Address - Country:US
Practice Address - Phone:404-261-4848
Practice Address - Fax:404-261-4846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA 6128111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty