Provider Demographics
NPI:1124649314
Name:THREE FOLD CHIROPRACTIC & WELLNESS CENTER PC
Entity type:Organization
Organization Name:THREE FOLD CHIROPRACTIC & WELLNESS CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-691-3127
Mailing Address - Street 1:120 CAMP ST
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-3284
Mailing Address - Country:US
Mailing Address - Phone:770-466-3344
Mailing Address - Fax:770-466-0830
Practice Address - Street 1:120 CAMP ST
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-3284
Practice Address - Country:US
Practice Address - Phone:770-466-3344
Practice Address - Fax:770-466-0830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty