Provider Demographics
NPI:1184992786
Name:HEAL THE WORLD
Entity type:Organization
Organization Name:HEAL THE WORLD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AWAIS
Authorized Official - Middle Name:IJAZ
Authorized Official - Last Name:BUTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-931-4844
Mailing Address - Street 1:2971 FAIRBURN RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-2915
Mailing Address - Country:US
Mailing Address - Phone:770-783-1799
Mailing Address - Fax:770-573-0559
Practice Address - Street 1:2971 FAIRBURN RD
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-2915
Practice Address - Country:US
Practice Address - Phone:770-783-1799
Practice Address - Fax:770-573-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007770111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty