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J. STEPHEN BENNETT JR. NPI 1942428057


NPI Information

NPI: 1942428057
Provider Name: J. STEPHEN BENNETT JR.

Other Name: NORTHEAST GA CHIROPRACTIC CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4211 MUNDY MILL PL
SUITE B
OAKWOOD, GA
ZIP 30566
Phone: (770) 534-8614
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J. STEPHEN BENNETT JR. is a chiropractor in Oakwood, 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. J. STEPHEN BENNETT JR. NPI is 1942428057. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Northeast Ga Chiropractic Clinic.

The provider's business location address is:

4211 MUNDY MILL PL
SUITE B
OAKWOOD, GA
ZIP 30566-540
Phone: (770) 534-8614
Fax: (770) 534-8169

The provider's authorized official is Joseph Stephen Bennett .
The authorized official title is Sole Proprietor and has the following contact phone number (770) 534-8614.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 3/3/2011.


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
1111N00000XChiropractor2278GEORGIAYes

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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