Provider Demographics
NPI:1063210680
Name:ECKLES, ALLEN DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:DAVID
Last Name:ECKLES
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 CALIBRE BROOKE WAY SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-2999
Mailing Address - Country:US
Mailing Address - Phone:254-998-0803
Mailing Address - Fax:
Practice Address - Street 1:7000 PEACHTREE DUNWOODY RD
Practice Address - Street 2:BUILDING 14- 100
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-6741
Practice Address - Country:US
Practice Address - Phone:254-998-0803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHI011356111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor