Provider Demographics
NPI:1831540236
Name:UPPER CERVICAL HEALTH SOLUTIONS LLC.
Entity type:Organization
Organization Name:UPPER CERVICAL HEALTH SOLUTIONS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:T
Authorized Official - Last Name:GADSDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-792-0002
Mailing Address - Street 1:PO BOX 4786
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30061-4786
Mailing Address - Country:US
Mailing Address - Phone:770-792-0002
Mailing Address - Fax:
Practice Address - Street 1:590 COMMERCE PARK DR SE
Practice Address - Street 2:SUITE 115
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-2741
Practice Address - Country:US
Practice Address - Phone:770-792-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5684261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty