Provider Demographics
NPI:1316537475
Name:ATLANTA CENTER FOR WHOLISTIC CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:ATLANTA CENTER FOR WHOLISTIC CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:E
Authorized Official - Last Name:BELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC, CCEP
Authorized Official - Phone:404-349-8221
Mailing Address - Street 1:2905 CAMPBELLTON RD SW STE G-H
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-4511
Mailing Address - Country:US
Mailing Address - Phone:404-349-8221
Mailing Address - Fax:404-349-5138
Practice Address - Street 1:2905 CAMPBELLTON RD SW STE G-H
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-4511
Practice Address - Country:US
Practice Address - Phone:404-349-8221
Practice Address - Fax:404-349-5138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty