Healthcare Provider Details

I. General information

NPI: 1275185274
Provider Name (Legal Business Name): CAPSTONE HEALING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5365 SEATON DR
ATLANTA GA
30338-4536
US

IV. Provider business mailing address

5365 SEATON DR
ATLANTA GA
30338-4536
US

V. Phone/Fax

Practice location:
  • Phone: 678-744-4874
  • Fax:
Mailing address:
  • Phone: 678-744-4874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHAIM ROSEN
Title or Position: CEO
Credential: DC
Phone: 678-744-4874