LIFE CLINIC OF GA PC NPI 1922752807

NPI Information

  • NPI: 1922752807
  • Provider Name: LIFE CLINIC OF GA PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 14200 HIGHWAY 92
    WOODSTOCK, GA
    ZIP 30188
  • Phone: (952) 229-7464

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NPI Details

LIFE CLINIC OF GA PC 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. LIFE CLINIC OF GA PC NPI is 1922752807. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14200 HIGHWAY 92
WOODSTOCK, GA
ZIP 30188-139
Phone: (952) 229-7464

The provider's authorized official is Reza Alizadeh .
The authorized official title is President and has the following contact phone number (612) 868-6894.

The enumeration date for this NPI number is 2/9/2022 and was last updated on 2/9/2022.

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
1225100000XPhysical TherapistNo
2111N00000XChiropractorYes

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: 3/30/2025

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