Provider Demographics
NPI:1649515289
Name:DEES CHIROPRACTIC PC
Entity type:Organization
Organization Name:DEES CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-367-1116
Mailing Address - Street 1:1150 GRIMES BRIDGE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-3988
Mailing Address - Country:US
Mailing Address - Phone:404-845-7826
Mailing Address - Fax:404-855-4076
Practice Address - Street 1:1150 GRIMES BRIDGE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3988
Practice Address - Country:US
Practice Address - Phone:404-845-7826
Practice Address - Fax:404-855-4076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-08
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008923261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center