Provider Demographics
NPI:1508574385
Name:CLIMB CHIROPRACTIC
Entity Type:Organization
Organization Name:CLIMB CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN-BUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-399-6302
Mailing Address - Street 1:4562 KINGS CROSSING DR NE
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-1673
Mailing Address - Country:US
Mailing Address - Phone:205-399-6302
Mailing Address - Fax:
Practice Address - Street 1:565 HARDEE ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-4712
Practice Address - Country:US
Practice Address - Phone:770-445-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty