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PEACHTREE CITY CHIROPRACTIC NPI 1669665030


NPI Information

NPI: 1669665030
Provider Name: PEACHTREE CITY CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1117 CROSSTOWN CT.
PEACHTREE CITY, GA
ZIP 30269
Phone: (770) 631-3822
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PEACHTREE CITY CHIROPRACTIC is a chiropractor in Peachtree City, 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. PEACHTREE CITY CHIROPRACTIC NPI is 1669665030. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1117 CROSSTOWN CT.
PEACHTREE CITY, GA
ZIP 30269-951
Phone: (770) 631-3822
Fax: (770) 486-3515

The provider's authorized official is Harold Clifford Bost .
The authorized official title is Owner and has the following contact phone number (770) 631-3822.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 8/20/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCHIR004673GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP4707MEDICARE UPINGEORGIA

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: 5/5/2024

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