Provider Demographics
NPI:1538721345
Name:ALIGNPRO CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ALIGNPRO CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BRADDY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:912-531-4376
Mailing Address - Street 1:1103 MADISON AVE N
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31533-2803
Mailing Address - Country:US
Mailing Address - Phone:912-384-3002
Mailing Address - Fax:912-383-9461
Practice Address - Street 1:1103 MADISON AVE N
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2803
Practice Address - Country:US
Practice Address - Phone:912-384-3002
Practice Address - Fax:912-383-9461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty