Provider Demographics
NPI:1780366088
Name:MEMBERS CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:MEMBERS CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRISS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-649-1730
Mailing Address - Street 1:3605 SANDY PLAINS RD STE 240-262
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-3068
Mailing Address - Country:US
Mailing Address - Phone:770-649-1730
Mailing Address - Fax:
Practice Address - Street 1:4343 SHALLOWFORD RD STE 160
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-5075
Practice Address - Country:US
Practice Address - Phone:770-649-1730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty