Healthcare Provider Details

I. General information

NPI: 1881884534
Provider Name (Legal Business Name): TITUS FAMILY CHIROPRACTIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8404 ABERCORN ST
SAVANNAH GA
31406-3425
US

IV. Provider business mailing address

315 COMMERCIAL DR STE C5
SAVANNAH GA
31406-3633
US

V. Phone/Fax

Practice location:
  • Phone: 912-920-8400
  • Fax: 912-920-0100
Mailing address:
  • Phone: 912-355-3170
  • Fax: 912-355-3171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberCHIRO007991
License Number StateGA

VIII. Authorized Official

Name: DR. TODD M. TITUS
Title or Position: OWNER
Credential: DC
Phone: 912-920-8400