Provider Demographics
NPI:1780613497
Name:TENHUNDFELD, ALEX J (DC)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:J
Last Name:TENHUNDFELD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4471 JIMMY LEE SMITH PKWY
Mailing Address - Street 2:SUITE H
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-2725
Mailing Address - Country:US
Mailing Address - Phone:678-567-9633
Mailing Address - Fax:678-384-1027
Practice Address - Street 1:4471 JIMMY LEE SMITH PKWY
Practice Address - Street 2:SUITE H
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2725
Practice Address - Country:US
Practice Address - Phone:678-567-9633
Practice Address - Fax:678-384-1027
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO07439111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor