Provider Demographics
NPI:1912634841
Name:HAPPY SPINE CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:HAPPY SPINE CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NGHIA
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:470-299-2598
Mailing Address - Street 1:4500 SATELLITE BLVD STE 2390
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5067
Mailing Address - Country:US
Mailing Address - Phone:470-299-2598
Mailing Address - Fax:470-299-2701
Practice Address - Street 1:4500 SATELLITE BLVD STE 2390
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5067
Practice Address - Country:US
Practice Address - Phone:470-299-2598
Practice Address - Fax:470-299-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty