Provider Demographics
NPI:1174685325
Name:FRIENDSHIP FAMILY CHIROPRACTIC GROUP, PC
Entity Type:Organization
Organization Name:FRIENDSHIP FAMILY CHIROPRACTIC GROUP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:ENGLAND
Authorized Official - Last Name:DEMPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-205-8433
Mailing Address - Street 1:327 DAHLONEGA ST
Mailing Address - Street 2:SUITE 1801B
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2480
Mailing Address - Country:US
Mailing Address - Phone:770-205-8433
Mailing Address - Fax:770-205-7793
Practice Address - Street 1:327 DAHLONEGA ST
Practice Address - Street 2:SUITE 1801B
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2480
Practice Address - Country:US
Practice Address - Phone:770-205-8433
Practice Address - Fax:770-205-7793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006513111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty