Provider Demographics
NPI:1548523723
Name:INJURY RELIEF CHIROPRACTIC
Entity type:Organization
Organization Name:INJURY RELIEF CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-697-9597
Mailing Address - Street 1:6223 OAKDALE RIDGE CT SE
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-2921
Mailing Address - Country:US
Mailing Address - Phone:678-710-3073
Mailing Address - Fax:678-501-5174
Practice Address - Street 1:6223 OAKDALE RIDGE CT SE
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-2921
Practice Address - Country:US
Practice Address - Phone:678-710-3073
Practice Address - Fax:678-501-5174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty