Provider Demographics
NPI:1629284849
Name:CLAYTON CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:CLAYTON CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:N
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-477-7730
Mailing Address - Street 1:1299 BATTLECREEK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-7981
Mailing Address - Country:US
Mailing Address - Phone:770-477-7730
Mailing Address - Fax:770-477-7738
Practice Address - Street 1:1299 BATTLECREEK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-7981
Practice Address - Country:US
Practice Address - Phone:770-477-7730
Practice Address - Fax:770-477-7738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001908111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty