Provider Demographics
NPI:1194272393
Name:STARNES FAMILY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:STARNES FAMILY CHIROPRACTIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:STARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-873-2087
Mailing Address - Street 1:2323 SHALLOWFORD RD STE 105C
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-2000
Mailing Address - Country:US
Mailing Address - Phone:770-657-7463
Mailing Address - Fax:
Practice Address - Street 1:2323 SHALLOWFORD RD STE 105C
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-2000
Practice Address - Country:US
Practice Address - Phone:770-657-7463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty