Provider Demographics
NPI:1760733471
Name:COMPLETE CHIROPRACTIC CENTER LLC
Entity Type:Organization
Organization Name:COMPLETE CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KARZIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-545-3270
Mailing Address - Street 1:6000 SHAKERAG HL STE 106
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-6523
Mailing Address - Country:US
Mailing Address - Phone:678-545-3270
Mailing Address - Fax:678-545-3271
Practice Address - Street 1:6000 SHAKERAG HL STE 106
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-6523
Practice Address - Country:US
Practice Address - Phone:678-545-3270
Practice Address - Fax:678-545-3271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO008702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty