Provider Type Icon

BACK & NECK PAIN CENTER PC NPI 1669642203


NPI Information

NPI: 1669642203
Provider Name: BACK & NECK PAIN CENTER PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
509 JACKSON ST
VIDALIA, GA
ZIP 30474
Phone: (912) 537-2564
Get Directions

BACK & NECK PAIN CENTER PC is a chiropractor in Vidalia, GA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BACK & NECK PAIN CENTER PC NPI is 1669642203. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

509 JACKSON ST
VIDALIA, GA
ZIP 30474-720
Phone: (912) 537-2564
Fax: (912) 538-9391

The provider's authorized official is John K Mckay .
The authorized official title is President and has the following contact phone number (912) 537-2564.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 5/5/2008.


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
1111N00000XChiropractorCHIRO001572GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP6174OTHERGEORGIAGRP
2GRP6174MEDICARE PINGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.