Provider Demographics
NPI:1114604014
Name:JAMES R CHARNITSKI PLLC
Entity Type:Organization
Organization Name:JAMES R CHARNITSKI PLLC
Other - Org Name:THE CHIROPRACTOR ON 34
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARNITSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:707-834-8165
Mailing Address - Street 1:75 FRANCES SHIREY WAY
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-4456
Mailing Address - Country:US
Mailing Address - Phone:678-860-1620
Mailing Address - Fax:770-834-8165
Practice Address - Street 1:23 FRANKLIN RD STE B
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-1397
Practice Address - Country:US
Practice Address - Phone:770-834-8165
Practice Address - Fax:770-834-8165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty