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INNER SANCTUARY CHIROPRACTIC LLC NPI 1285983270


NPI Information

NPI: 1285983270
Provider Name: INNER SANCTUARY CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
165 DEKALB INDUSTRIAL WAY
SUITE B5
DECATUR, GA
ZIP 30030
Phone: (404) 993-1140
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INNER SANCTUARY CHIROPRACTIC 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. INNER SANCTUARY CHIROPRACTIC LLC NPI is 1285983270. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

165 DEKALB INDUSTRIAL WAY
SUITE B5
DECATUR, GA
ZIP 30030-230
Phone: (404) 993-1140

The provider's authorized official is Nima Mahallati .
The authorized official title is Owner and has the following contact phone number (404) 993-1140.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 9/5/2012.


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
1111N00000XChiropractorCHIR008617GEORGIAYes

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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