Provider Demographics
NPI:1114797750
Name:AIM CHIROPRACTIC & FITNESS
Entity Type:Organization
Organization Name:AIM CHIROPRACTIC & FITNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCOTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-672-0541
Mailing Address - Street 1:2900 DELK RD SE STE 17
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-5320
Mailing Address - Country:US
Mailing Address - Phone:770-672-0541
Mailing Address - Fax:770-672-0848
Practice Address - Street 1:2900 DELK RD SE STE 17
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-5320
Practice Address - Country:US
Practice Address - Phone:770-672-0541
Practice Address - Fax:770-672-0848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty