Provider Demographics
NPI:1447566682
Name:TOTAL HEALTHCARE LLC
Entity type:Organization
Organization Name:TOTAL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-999-8531
Mailing Address - Street 1:6690 ROSWELL RD NE
Mailing Address - Street 2:STE 510
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3161
Mailing Address - Country:US
Mailing Address - Phone:678-999-8531
Mailing Address - Fax:404-497-9757
Practice Address - Street 1:6690 ROSWELL RD NE
Practice Address - Street 2:STE 510
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3161
Practice Address - Country:US
Practice Address - Phone:678-999-8531
Practice Address - Fax:404-497-9757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006988111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty