Provider Demographics
NPI:1346509635
Name:DR ANNA CHIROPRACTOR SERVICES LLC
Entity Type:Organization
Organization Name:DR ANNA CHIROPRACTOR SERVICES LLC
Other - Org Name:JUST E BUDDY HEALTH SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MOORE
Authorized Official - Last Name:JUST BUDY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-964-5230
Mailing Address - Street 1:510 SWANSON RD
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:GA
Mailing Address - Zip Code:30290-6900
Mailing Address - Country:US
Mailing Address - Phone:770-964-5230
Mailing Address - Fax:770-962-8175
Practice Address - Street 1:510 SWANSON RD
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:GA
Practice Address - Zip Code:30290-6900
Practice Address - Country:US
Practice Address - Phone:770-964-5230
Practice Address - Fax:770-962-8175
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:202G706768
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-08
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007386111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty