Provider Demographics
NPI:1649294109
Name:CORE CHIROPRACTIC HEALTH INC.
Entity type:Organization
Organization Name:CORE CHIROPRACTIC HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BRANDON
Authorized Official - Last Name:KASSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-256-0114
Mailing Address - Street 1:325 HAMMOND DR NE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5032
Mailing Address - Country:US
Mailing Address - Phone:404-256-0114
Mailing Address - Fax:404-256-0167
Practice Address - Street 1:325 HAMMOND DR NE
Practice Address - Street 2:SUITE 203
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5032
Practice Address - Country:US
Practice Address - Phone:404-256-0114
Practice Address - Fax:404-256-0167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007783111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty