Provider Demographics
NPI:1306395256
Name:MORNING CHIROPRACTIC
Entity Type:Organization
Organization Name:MORNING CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-451-0400
Mailing Address - Street 1:5430 JIMMY CARTER BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1517
Mailing Address - Country:US
Mailing Address - Phone:770-451-0400
Mailing Address - Fax:770-451-0403
Practice Address - Street 1:5430 JIMMY CARTER BLVD
Practice Address - Street 2:STE 200
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1517
Practice Address - Country:US
Practice Address - Phone:770-451-0400
Practice Address - Fax:770-451-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty