Provider Demographics
NPI:1770831554
Name:PAUL L. DRILLING DC PC
Entity Type:Organization
Organization Name:PAUL L. DRILLING DC PC
Other - Org Name:FEDER HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:DRILLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-252-0050
Mailing Address - Street 1:190 SANDY SPRINGS PLACE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5908
Mailing Address - Country:US
Mailing Address - Phone:404-252-0050
Mailing Address - Fax:
Practice Address - Street 1:190 SANDY SPRINGS PLACE
Practice Address - Street 2:SUITE 100
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-5908
Practice Address - Country:US
Practice Address - Phone:404-252-0050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty