Provider Demographics
NPI:1083993042
Name:ALPHACARE CHRISTIAN THERAPY
Entity Type:Organization
Organization Name:ALPHACARE CHRISTIAN THERAPY
Other - Org Name:ALPHACARE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAILEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-524-4829
Mailing Address - Street 1:2900 DELK RD SE STE 700
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-5350
Mailing Address - Country:US
Mailing Address - Phone:678-524-4829
Mailing Address - Fax:
Practice Address - Street 1:63 MAXWELL AVE
Practice Address - Street 2:
Practice Address - City:SAINT SIMONS IS
Practice Address - State:GA
Practice Address - Zip Code:31522-1825
Practice Address - Country:US
Practice Address - Phone:678-524-4829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO008832111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty