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PARK RIDGE HEALTHCARE AND PHYSICAL MEDICINE LLC NPI 1366971277


NPI Information

NPI: 1366971277
Provider Name: PARK RIDGE HEALTHCARE AND PHYSICAL MEDICINE LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2896 CHAMBLEE TUCKER ROAD
SUITE 4
ATLANTA, GA
ZIP 30341
Phone: (770) 457-0584
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PARK RIDGE HEALTHCARE AND PHYSICAL MEDICINE LLC is a chiropractor in Atlanta, 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. PARK RIDGE HEALTHCARE AND PHYSICAL MEDICINE LLC NPI is 1366971277. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2896 CHAMBLEE TUCKER ROAD
SUITE 4
ATLANTA, GA
ZIP 30341
Phone: (770) 457-0584
Fax: (770) 457-0773

The provider's authorized official is Patrick Joseph Sallarulo .
The authorized official title is Owner and has the following contact phone number (770) 457-0584.

The enumeration date for this NPI number is 6/6/2017 and was last updated on 7/12/2017.


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
1363L00000XNurse PractitionerNo
2111N00000XChiropractorCHIR002472GEORGIAYes

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: 11/14/2023

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.