Provider Demographics
NPI:1942847827
Name:TENNESSEE STREET CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:TENNESSEE STREET CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KALB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-387-1144
Mailing Address - Street 1:931 N TENNESSEE ST
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-2442
Mailing Address - Country:US
Mailing Address - Phone:770-387-1144
Mailing Address - Fax:
Practice Address - Street 1:931 N TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2442
Practice Address - Country:US
Practice Address - Phone:770-387-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center