Provider Demographics
NPI:1255458576
Name:HOURIN, THOMAS (DC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:HOURIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 BELLS FERRY RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-7527
Mailing Address - Country:US
Mailing Address - Phone:678-214-0100
Mailing Address - Fax:678-214-0124
Practice Address - Street 1:5505 BELLS FERRY RD
Practice Address - Street 2:SUITE 240
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30102-7527
Practice Address - Country:US
Practice Address - Phone:678-214-0100
Practice Address - Fax:678-214-0124
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO08064111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor