Provider Demographics
NPI:1992866685
Name:CHRIS BROOKS, P.C.
Entity Type:Organization
Organization Name:CHRIS BROOKS, P.C.
Other - Org Name:FRANKS CHIROPRACTIC LIFE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:K
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-432-1164
Mailing Address - Street 1:3065 S COBB DR SE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-7809
Mailing Address - Country:US
Mailing Address - Phone:770-432-1164
Mailing Address - Fax:770-434-8262
Practice Address - Street 1:3065 S COBB DR SE
Practice Address - Street 2:SUITE B
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-7809
Practice Address - Country:US
Practice Address - Phone:770-432-1164
Practice Address - Fax:770-434-8262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5653111N00000X
GA7183111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCHNLMedicare ID - Type UnspecifiedDR. JAMI GOMARKO
GA35ZCHNMMedicare ID - Type UnspecifiedDR. CHRISTOPHER BROOKS