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EVOLUTION CHIROPRACTIC NPI 1316397193


NPI Information

NPI: 1316397193
Provider Name: EVOLUTION CHIROPRACTIC

Doing Business As: BACK 2 BACK CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1705 MOUNT VERNON RD
DUNWOODY, GA
ZIP 30338
Phone: (770) 391-2771
Get Directions

EVOLUTION CHIROPRACTIC is a chiropractor in Dunwoody, 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. EVOLUTION CHIROPRACTIC NPI is 1316397193. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Back 2 Back Chiropractic.

The provider's business location address is:

1705 MOUNT VERNON RD
DUNWOODY, GA
ZIP 30338-261
Phone: (770) 391-2771

The provider's authorized official is Steven Wallin .
The authorized official title is Chiropractor/president and has the following contact phone number (770) 391-2771.

The enumeration date for this NPI number is 6/13/2016 and was last updated on 6/13/2016.


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
1111N00000XChiropractorCHIR009707GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11831563469OTHERMICHIGANNPI

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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