Healthcare Provider Details

I. General information

NPI: 1598689416
Provider Name (Legal Business Name): CHIRO CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 W MARKET ST STE 2
ATHENS AL
35611-2454
US

IV. Provider business mailing address

1005 W MARKET ST STE 2
ATHENS AL
35611-2454
US

V. Phone/Fax

Practice location:
  • Phone: 256-444-6767
  • Fax: 256-444-4567
Mailing address:
  • Phone: 256-444-6767
  • Fax: 256-444-4567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ERIC HAYES
Title or Position: CEO
Credential:
Phone: 256-444-6767