Healthcare Provider Details

I. General information

NPI: 1194800730
Provider Name (Legal Business Name): KRIS FRANKENBERG DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5172 MCGINNIS FERRY RD
ALPHARETTA GA
30005-1792
US

IV. Provider business mailing address

5172 MCGINNIS FERRY RD
ALPHARETTA GA
30005-1792
US

V. Phone/Fax

Practice location:
  • Phone: 678-624-0000
  • Fax: 678-624-0002
Mailing address:
  • Phone: 678-624-0000
  • Fax: 678-624-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR006744
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: