Provider Demographics
NPI:1952072282
Name:CORY FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:CORY FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-317-6079
Mailing Address - Street 1:1700 NORTHSIDE DR NW STE A3
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2695
Mailing Address - Country:US
Mailing Address - Phone:404-351-1800
Mailing Address - Fax:404-351-1040
Practice Address - Street 1:1700 NORTHSIDE DR NW STE A3
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2695
Practice Address - Country:US
Practice Address - Phone:404-351-1800
Practice Address - Fax:404-351-1040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty