Provider Demographics
NPI:1376739144
Name:ACTION CHIROPRACTIC & REHABILITATION CENTER
Entity Type:Organization
Organization Name:ACTION CHIROPRACTIC & REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SCHUMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-832-7091
Mailing Address - Street 1:531 NEWNAN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-3335
Mailing Address - Country:US
Mailing Address - Phone:770-832-7091
Mailing Address - Fax:770-834-1623
Practice Address - Street 1:531 NEWNAN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-3335
Practice Address - Country:US
Practice Address - Phone:770-832-7091
Practice Address - Fax:770-834-1623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP4335Medicare UPIN