LIGHTHOUSE CHIROPRACTIC CENTER NPI 1790845857

NPI Information

  • NPI: 1790845857
  • Provider Name: LIGHTHOUSE CHIROPRACTIC CENTER
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 3458 WINDER HWY
    SUITE 120
    FLOWERY BRANCH, GA
    ZIP 30542
  • Phone: (770) 503-0500

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NPI Details

LIGHTHOUSE CHIROPRACTIC CENTER is a chiropractor in Flowery Branch, 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. LIGHTHOUSE CHIROPRACTIC CENTER NPI is 1790845857. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3458 WINDER HWY
SUITE 120
FLOWERY BRANCH, GA
ZIP 30542-007
Phone: (770) 503-0500
Fax: (770) 503-0635

The provider's authorized official is Jaime Gonzalez .
The authorized official title is Owner and has the following contact phone number (770) 503-0500.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.

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
1111N00000XChiropractorCHIR006987GEORGIAYes

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
11669443859OTHERGEORGIANPI TYPE 1 NUMBER

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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