Provider Demographics
NPI:1801522743
Name:CHIROPRACTIC SOLUTIONS OF GEORGIA, LLC
Entity type:Organization
Organization Name:CHIROPRACTIC SOLUTIONS OF GEORGIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLI
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-290-3229
Mailing Address - Street 1:PO BOX 152
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30162-0152
Mailing Address - Country:US
Mailing Address - Phone:404-904-5096
Mailing Address - Fax:
Practice Address - Street 1:610 SHORTER AVE NW STE 9
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-4283
Practice Address - Country:US
Practice Address - Phone:706-290-3229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center