Provider Demographics
NPI:1104608314
Name:HOSCHTON CHIROPRACTIC
Entity type:Organization
Organization Name:HOSCHTON CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:UHRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-696-7757
Mailing Address - Street 1:8600 PENDERGRASS RD
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-2300
Mailing Address - Country:US
Mailing Address - Phone:770-696-7757
Mailing Address - Fax:
Practice Address - Street 1:8600 PENDERGRASS RD
Practice Address - Street 2:
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-2300
Practice Address - Country:US
Practice Address - Phone:770-696-7757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty