Provider Demographics
NPI:1588810246
Name:ADAMS CLINIC OF CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ADAMS CLINIC OF CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-267-3277
Mailing Address - Street 1:2070 HIGHWAY 11 NW
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30656-4682
Mailing Address - Country:US
Mailing Address - Phone:770-267-3277
Mailing Address - Fax:770-207-0753
Practice Address - Street 1:2070 HIGHWAY 11 NW
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30656-4682
Practice Address - Country:US
Practice Address - Phone:770-267-3277
Practice Address - Fax:770-207-0753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-13
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007332111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty