Provider Demographics
NPI:1164846481
Name:CILINSKI, CHARLES WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:WILLIAM
Last Name:CILINSKI
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 1:1301 SHILOH RD NW
Mailing Address - Street 2:STE 1610
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7168
Mailing Address - Country:US
Mailing Address - Phone:770-218-1166
Mailing Address - Fax:770-218-1006
Practice Address - Street 1:1301 SHILOH RD NW
Practice Address - Street 2:STE 1610
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7168
Practice Address - Country:US
Practice Address - Phone:770-218-1166
Practice Address - Fax:770-218-1006
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009246111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor