Provider Demographics
NPI:1255585022
Name:FIRST CHOICE FAMILY CHIROPRACTIC CENTER OF DUBLIN LLC
Entity type:Organization
Organization Name:FIRST CHOICE FAMILY CHIROPRACTIC CENTER OF DUBLIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:STRATFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:478-272-1800
Mailing Address - Street 1:1101L HILLCREST PKWY # PMB111
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-3555
Mailing Address - Country:US
Mailing Address - Phone:478-272-1800
Mailing Address - Fax:478-274-1883
Practice Address - Street 1:911 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-6330
Practice Address - Country:US
Practice Address - Phone:478-272-1800
Practice Address - Fax:478-274-1883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008397261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care