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LIFE OF GEORGIA CHIROPRACTIC CLINIC NPI 1629221213


NPI Information

NPI: 1629221213
Provider Name: LIFE OF GEORGIA CHIROPRACTIC CLINIC

Doing Business As: LIFE OF GEORGIA CHIROPRACTIC CLINIC, PC

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1914 CENTRAL AVE
SUITE A
AUGUSTA, GA
ZIP 30904
Phone: (706) 733-2211
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LIFE OF GEORGIA CHIROPRACTIC CLINIC is a rehabilitation clinic center in Augusta, GA. LIFE OF GEORGIA CHIROPRACTIC CLINIC NPI is 1629221213. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Life Of Georgia Chiropractic Clinic, Pc.

The provider's business location address is:

1914 CENTRAL AVE
SUITE A
AUGUSTA, GA
ZIP 30904-126
Phone: (706) 733-2211
Fax: (706) 733-2271

The provider's authorized official is William O. Walker .
The authorized official title is Chiropractor and has the following contact phone number (706) 733-2211.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 9/9/2019.


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
1111N00000XChiropractorNo
2261QR0400XClinic/CenterRehabilitation1346GEORGIAYes

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
11376788406OTHERGEORGIATHIRD PARTY

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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