Provider Demographics
NPI:1144957077
Name:CB CHIRO, LLC
Entity type:Organization
Organization Name:CB CHIRO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:BLABAUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-392-9726
Mailing Address - Street 1:218 HIGHWAY 49 N
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:GA
Mailing Address - Zip Code:31008
Mailing Address - Country:US
Mailing Address - Phone:478-956-2388
Mailing Address - Fax:478-956-2389
Practice Address - Street 1:218 HIGHWAY 49 N
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:GA
Practice Address - Zip Code:31008
Practice Address - Country:US
Practice Address - Phone:478-956-2388
Practice Address - Fax:478-956-2389
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