Provider Demographics
NPI:1982803326
Name:HURST CHIROPRACTIC
Entity Type:Organization
Organization Name:HURST CHIROPRACTIC
Other - Org Name:TRUE HEALTH CENTER FOR FUNCTIONAL MEDICINE AND CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADY
Authorized Official - Middle Name:
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-475-0386
Mailing Address - Street 1:1401 PEACHTREE ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3023
Mailing Address - Country:US
Mailing Address - Phone:404-475-0402
Mailing Address - Fax:404-475-0443
Practice Address - Street 1:1401 PEACHTREE ST
Practice Address - Street 2:SUITE 160
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3023
Practice Address - Country:US
Practice Address - Phone:404-475-0386
Practice Address - Fax:404-475-0443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty