Provider Demographics
NPI:1871006585
Name:CORRIGAN, ERIN CHRISTINA (DC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CHRISTINA
Last Name:CORRIGAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 BIRMINGHAM RD STE 502
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4418
Mailing Address - Country:US
Mailing Address - Phone:678-266-3300
Mailing Address - Fax:
Practice Address - Street 1:980 BIRMINGHAM RD STE 502
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-4418
Practice Address - Country:US
Practice Address - Phone:678-266-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009976111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202G355720Medicaid