Provider Demographics
NPI:1407970049
Name:PIERCE, CURTIS WRIGHT JR (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:WRIGHT
Last Name:PIERCE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 PEACHTREE INDUSTRIAL BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-9126
Mailing Address - Country:US
Mailing Address - Phone:678-541-0777
Mailing Address - Fax:
Practice Address - Street 1:245 PEACHTREE INDUSTRIAL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518-9126
Practice Address - Country:US
Practice Address - Phone:678-541-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO06749111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA26-0112416OtherTAX ID
GA26-0112416OtherTAX ID