BACK TO BASIC HEALTH CHIROPRACTIC NPI 1770796203

NPI Information

BACK TO BASIC HEALTH CHIROPRACTIC is a chiropractor in Woodstock, 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. BACK TO BASIC HEALTH CHIROPRACTIC NPI is 1770796203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5101 OLD HWY 5
SUITE 1
WOODSTOCK, GA
ZIP 30188
Phone: (678) 494-6735
Fax: (678) 494-6737

The provider's authorized official is Kimberly Anne Vaccaro .
The authorized official title is Owner and has the following contact phone number (678) 494-6735.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 10/20/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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