Provider Demographics
NPI:1366609232
Name:CLAIRMONT CHIROPRACTIC ASSOCIATES, INC.
Entity type:Organization
Organization Name:CLAIRMONT CHIROPRACTIC ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:KEIFFER
Authorized Official - Last Name:MONTEITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-633-7175
Mailing Address - Street 1:1989 N WILLIAMSBURG DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3509
Mailing Address - Country:US
Mailing Address - Phone:404-633-7175
Mailing Address - Fax:404-633-7175
Practice Address - Street 1:1989 N WILLIAMSBURG DR
Practice Address - Street 2:SUITE D
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3509
Practice Address - Country:US
Practice Address - Phone:404-633-7175
Practice Address - Fax:404-633-7175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR002223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty