Provider Demographics
NPI:1154864775
Name:HAMPTON VALLEY HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:HAMPTON VALLEY HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARFISI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-725-2980
Mailing Address - Street 1:2881 MONROE HWY
Mailing Address - Street 2:SUITE 701
Mailing Address - City:BOGART
Mailing Address - State:GA
Mailing Address - Zip Code:30622-8528
Mailing Address - Country:US
Mailing Address - Phone:770-725-2980
Mailing Address - Fax:186-644-8681
Practice Address - Street 1:2881 MONROE HIGHWAY
Practice Address - Street 2:SUITE 701
Practice Address - City:BOGART
Practice Address - State:GA
Practice Address - Zip Code:30622
Practice Address - Country:US
Practice Address - Phone:770-725-2980
Practice Address - Fax:866-448-6818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008291111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty