Provider Demographics
NPI:1699277616
Name:PRAY CHIROPRACTIC PC
Entity type:Organization
Organization Name:PRAY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-935-7729
Mailing Address - Street 1:5721 BATTLEFIELD PKWY
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-5154
Mailing Address - Country:US
Mailing Address - Phone:706-935-7729
Mailing Address - Fax:
Practice Address - Street 1:5721 BATTLEFIELD PKWY
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-5154
Practice Address - Country:US
Practice Address - Phone:706-935-7729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRAY CHIROPRACTIC PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty