Provider Demographics
NPI:1952407132
Name:STEVE M. SINCLAIR, JR. DC, PC
Entity Type:Organization
Organization Name:STEVE M. SINCLAIR, JR. DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:706-473-5473
Mailing Address - Street 1:401 GA HIGHWAY 212
Mailing Address - Street 2:
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-6735
Mailing Address - Country:US
Mailing Address - Phone:706-473-5473
Mailing Address - Fax:
Practice Address - Street 1:401 GA HIGHWAY 212
Practice Address - Street 2:
Practice Address - City:EATONTON
Practice Address - State:GA
Practice Address - Zip Code:31024-6735
Practice Address - Country:US
Practice Address - Phone:706-473-5473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007973111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty