Provider Demographics
NPI:1770523177
Name:TOMPKINS FAMILY CHIROPRACTIC INC.
Entity type:Organization
Organization Name:TOMPKINS FAMILY CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:W
Authorized Official - Last Name:TOMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-888-9027
Mailing Address - Street 1:1485 PEACHTREE PKWY
Mailing Address - Street 2:SUITE D7
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-0500
Mailing Address - Country:US
Mailing Address - Phone:770-888-9027
Mailing Address - Fax:770-888-9028
Practice Address - Street 1:1485 PEACHTREE PKWY
Practice Address - Street 2:SUITE D7
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-0500
Practice Address - Country:US
Practice Address - Phone:770-888-9027
Practice Address - Fax:770-888-9028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP4623Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER