Provider Demographics
NPI:1861833287
Name:HOLMES, CHRISTOPHER LEWIS (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LEWIS
Last Name:HOLMES
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 1:749 MORELAND AVE SE
Mailing Address - Street 2:#C-106
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-7000
Mailing Address - Country:US
Mailing Address - Phone:404-627-8998
Mailing Address - Fax:404-627-8970
Practice Address - Street 1:749 MORELAND AVE SE
Practice Address - Street 2:#C-106
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-7000
Practice Address - Country:US
Practice Address - Phone:404-627-8998
Practice Address - Fax:404-627-8970
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-14
Last Update Date:2013-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR00008964111N00000X, 111NR0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician