Provider Demographics
NPI:1245117498
Name:STAUFFER CHIROPRACTIC
Entity type:Organization
Organization Name:STAUFFER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STAUFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-309-0316
Mailing Address - Street 1:4595 TOWNE LAKE PARKWAY
Mailing Address - Street 2:BLDG 300 STE 100
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189
Mailing Address - Country:US
Mailing Address - Phone:470-702-3474
Mailing Address - Fax:
Practice Address - Street 1:4595 TOWNE LAKE PARKWAY
Practice Address - Street 2:BLDG 300 STE 100
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189
Practice Address - Country:US
Practice Address - Phone:470-702-3474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty