Provider Demographics
NPI:1336691971
Name:CHIROPRACTIC WORKS
Entity Type:Organization
Organization Name:CHIROPRACTIC WORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-548-8984
Mailing Address - Street 1:101 CEDAR ROCK TRCE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-7701
Mailing Address - Country:US
Mailing Address - Phone:706-548-8984
Mailing Address - Fax:706-383-7781
Practice Address - Street 1:101 CEDAR ROCK TRCE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-7701
Practice Address - Country:US
Practice Address - Phone:706-548-8984
Practice Address - Fax:706-383-7781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIROO9579111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty