Provider Demographics
NPI:1649488115
Name:CARREN FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:CARREN FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CARREN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-801-1844
Mailing Address - Street 1:1680 MULKEY RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1118
Mailing Address - Country:US
Mailing Address - Phone:770-801-1844
Mailing Address - Fax:770-948-8144
Practice Address - Street 1:1680 MULKEY RD
Practice Address - Street 2:SUITE G
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1118
Practice Address - Country:US
Practice Address - Phone:770-801-1844
Practice Address - Fax:770-948-8144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty