Provider Demographics
NPI:1588801542
Name:ROBERT P. TRUAX, JR., DC
Entity Type:Organization
Organization Name:ROBERT P. TRUAX, JR., DC
Other - Org Name:NATURAL BODY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:TRUAX
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:404-421-2524
Mailing Address - Street 1:106 HURT DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-2702
Mailing Address - Country:US
Mailing Address - Phone:404-421-2524
Mailing Address - Fax:
Practice Address - Street 1:3340 PEACHTREE RD NE
Practice Address - Street 2:SUITE 1800
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1000
Practice Address - Country:US
Practice Address - Phone:404-421-2524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty