Provider Demographics
NPI:1225313935
Name:CLEAR CHOICE CHIROPRACTIC
Entity Type:Organization
Organization Name:CLEAR CHOICE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWMER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-507-7417
Mailing Address - Street 1:3151 WILLIAMS RD STE D
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-5624
Mailing Address - Country:US
Mailing Address - Phone:706-507-7417
Mailing Address - Fax:706-507-7419
Practice Address - Street 1:3151 WILLIAMS RD STE D
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-5624
Practice Address - Country:US
Practice Address - Phone:706-507-7417
Practice Address - Fax:706-507-7419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO007555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty