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PERFORMANCE INJURY CENTER LLC. NPI 1003067828


NPI Information

NPI: 1003067828
Provider Name: PERFORMANCE INJURY CENTER LLC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4294 MEMORIAL DR
SUITE D
DECATUR, GA
ZIP 30032
Phone: (404) 296-4888
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PERFORMANCE INJURY CENTER LLC. is a chiropractor in Decatur, 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. PERFORMANCE INJURY CENTER LLC. NPI is 1003067828. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4294 MEMORIAL DR
SUITE D
DECATUR, GA
ZIP 30032-226
Phone: (404) 296-4888
Fax: (404) 296-8811

The provider's authorized official is Adebukola Akintoye .
The authorized official title is Medical Director and has the following contact phone number (404) 296-4888.

The enumeration date for this NPI number is 10/10/2008 and was last updated on 4/2/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine038164GEORGIANo
2111N00000XChiropractor2973GEORGIAYes

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: 4/28/2024

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