Provider Demographics
NPI:1609956580
Name:CAHN, CHARLES JACK (DC)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:JACK
Last Name:CAHN
Suffix:
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 1:2944 DELLINGER DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-4711
Mailing Address - Country:US
Mailing Address - Phone:770-977-7925
Mailing Address - Fax:
Practice Address - Street 1:2944 DELLINGER DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-4711
Practice Address - Country:US
Practice Address - Phone:770-977-7925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO 001701111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor