Provider Demographics
NPI:1124329453
Name:AMANDA TORBORG D.C., LLC
Entity type:Organization
Organization Name:AMANDA TORBORG D.C., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORBORG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-422-5052
Mailing Address - Street 1:1651 POWDER SPRINGS RD SW
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-4847
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1651 POWDER SPRINGS RD SW
Practice Address - Street 2:SUITE 3
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4847
Practice Address - Country:US
Practice Address - Phone:770-422-5052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008483111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty