MEDICARE: CORE CHIROPRACTIC HEALTH INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIR007783	GA

General Provider Information

NPI Number	:	1649294109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE CHIROPRACTIC HEALTH INC.

Provider Business Mailing Address
First Line	:	325 HAMMOND DR NE
Second Line	:	SUITE 203
City	:	ATLANTA
State	:	GA
Zip	:	30328-5032
Country	:	US
Telephone Number	:	404-256-0114
Fax Number	:	404-256-0167

Provider Business Practice Location Address
First Line	:	325 HAMMOND DR NE
Second Line	:	SUITE 203
City	:	ATLANTA
State	:	GA
Zip	:	30328-5032
Country	:	US
Telephone Number	:	404-256-0114
Fax Number	:	404-256-0167

Authorized Official
Title or Position	:	C.E.O.
Name	:	DR. JAMES BRANDON KASSINGER
Credential	:	D.C.
Telephone Number	:	404-256-0114

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	08/21/2009

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Directions to “CORE CHIROPRACTIC HEALTH INC. ” Practice Location

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