Provider Demographics
NPI:1891727459
Name:ATLANTA INJURY SPECIALISTS, LLC
Entity Type:Organization
Organization Name:ATLANTA INJURY SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-209-9277
Mailing Address - Street 1:2879 E POINT ST
Mailing Address - Street 2:STE 11
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-3301
Mailing Address - Country:US
Mailing Address - Phone:404-209-9277
Mailing Address - Fax:
Practice Address - Street 1:2879 EAST POINT ST
Practice Address - Street 2:STE 11
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-3301
Practice Address - Country:US
Practice Address - Phone:404-209-9277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO0759111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty