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PINE MOUNTAIN CHIROPRACTIC CENTER LLC NPI 1023201217


NPI Information

NPI: 1023201217
Provider Name: PINE MOUNTAIN CHIROPRACTIC CENTER, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
624 N MAIN AVE
PINE MOUNTAIN, GA
ZIP 31822
Phone: (706) 663-8801
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PINE MOUNTAIN CHIROPRACTIC CENTER, LLC is a health service clinic center in Pine Mountain, GA. PINE MOUNTAIN CHIROPRACTIC CENTER, LLC NPI is 1023201217. The provider is registered as an organization entity type.

The provider's business location address is:

624 N MAIN AVE
PINE MOUNTAIN, GA
ZIP 31822-403
Phone: (706) 663-8801

The provider's authorized official is Kim W. Russell .
The authorized official title is Office Manager and has the following contact phone number (706) 663-8801.

The enumeration date for this NPI number is 8/22/2007 and was last updated on 8/22/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth Service2301000RNGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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