Provider Demographics
NPI:1265077051
Name:STRONG SPINE AND BODY LLC
Entity type:Organization
Organization Name:STRONG SPINE AND BODY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:DENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-795-3247
Mailing Address - Street 1:6425 POWERS FERRY RD STE 175
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2964
Mailing Address - Country:US
Mailing Address - Phone:678-831-5064
Mailing Address - Fax:
Practice Address - Street 1:6425 POWERS FERRY RD STE 175
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30339-2964
Practice Address - Country:US
Practice Address - Phone:678-831-5064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-15
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty