Provider Demographics
NPI:1881884534
Name:TITUS FAMILY CHIROPRACTIC, INC
Entity type:Organization
Organization Name:TITUS FAMILY CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:M
Authorized Official - Last Name:TITUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:912-920-8400
Mailing Address - Street 1:315 COMMERCIAL DR STE C5
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3633
Mailing Address - Country:US
Mailing Address - Phone:912-355-3170
Mailing Address - Fax:912-355-3171
Practice Address - Street 1:8404 ABERCORN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3425
Practice Address - Country:US
Practice Address - Phone:912-920-8400
Practice Address - Fax:912-920-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO007991261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA451003Medicare PIN