Provider Demographics
NPI:1609116979
Name:KRZEMIEN ENTERPRISES INC.
Entity Type:Organization
Organization Name:KRZEMIEN ENTERPRISES INC.
Other - Org Name:GEORGIA SPINE AND SPORTS REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:KRZEMIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-614-6551
Mailing Address - Street 1:4271 S LEE ST
Mailing Address - Street 2:STE. 201
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-3710
Mailing Address - Country:US
Mailing Address - Phone:770-614-6551
Mailing Address - Fax:770-831-5435
Practice Address - Street 1:4271 S LEE ST
Practice Address - Street 2:STE. 201
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-3710
Practice Address - Country:US
Practice Address - Phone:770-614-6551
Practice Address - Fax:770-831-5435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007293111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty