Provider Demographics
NPI:1558816017
Name:TIFFANY RINGFIELD
Entity type:Organization
Organization Name:TIFFANY RINGFIELD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:RINGFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:CHIROPRACTOR DC
Authorized Official - Phone:770-739-8118
Mailing Address - Street 1:6949 S SWEETWATER RD
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-2465
Mailing Address - Country:US
Mailing Address - Phone:770-739-8118
Mailing Address - Fax:866-699-7138
Practice Address - Street 1:6949 S SWEETWATER RD
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-2465
Practice Address - Country:US
Practice Address - Phone:770-739-8118
Practice Address - Fax:866-699-7138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007410111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty