LOCUST GROVE CLINIC P.C. NPI 1699964171

NPI Information

  • NPI: 1699964171
  • Provider Name: LOCUST GROVE CLINIC, P.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 2648 HIGHWAY 42
    LOCUST GROVE, GA
    ZIP 30248
  • Phone: (770) 898-0028

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NPI Details

LOCUST GROVE CLINIC, P.C. is a chiropractor in Locust Grove, 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. LOCUST GROVE CLINIC, P.C. NPI is 1699964171. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2648 HIGHWAY 42
LOCUST GROVE, GA
ZIP 30248-519
Phone: (770) 898-0028
Fax: (770) 898-7987

The provider's authorized official is Peter J Tully .
The authorized official title is Pres and has the following contact phone number (770) 898-0028.

The enumeration date for this NPI number is 10/19/2007 and was last updated on 10/19/2007.

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
1111N00000XChiropractorCHIROO6323GEORGIAYes

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
1GRP4337OTHERGEORGIAMEDICARE GROUP

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: 11/21/2025

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