Provider Demographics
NPI:1396276036
Name:AFW HEALTHCARE INC
Entity type:Organization
Organization Name:AFW HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:TRAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-767-0334
Mailing Address - Street 1:555 SUN VALLEY DR STE A3
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-5606
Mailing Address - Country:US
Mailing Address - Phone:770-767-0334
Mailing Address - Fax:770-767-0334
Practice Address - Street 1:555 SUN VALLEY DR STE A3
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5606
Practice Address - Country:US
Practice Address - Phone:770-767-0334
Practice Address - Fax:770-767-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty