Provider Demographics
NPI:1376609396
Name:ALPHARETTA FAMILY CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:ALPHARETTA FAMILY CHIROPRACTIC CENTER, INC.
Other - Org Name:MAX 360 HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:SAVEDOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-261-3222
Mailing Address - Street 1:12460 CRABAPPLE RD
Mailing Address - Street 2:SUITE 202-184
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-6602
Mailing Address - Country:US
Mailing Address - Phone:678-261-3222
Mailing Address - Fax:678-261-3226
Practice Address - Street 1:12315 CRABAPPLE RD
Practice Address - Street 2:SUITE 144
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-6329
Practice Address - Country:US
Practice Address - Phone:678-261-3222
Practice Address - Fax:678-261-3226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8722111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty