Organization · Type 2 NPI

The Back Shack LLC

Chiropractor · Stone Mountain, GA

NPI number 1003051343 Active

Practice location

6740 James B Rivers Dr
Stone Mountain, GA 30083-2235

Call (404) 775-9642 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIR006338 (GA)

Chiropractor: 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.

7 other providers at this address

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About NPI 1003051343

The Back Shack LLC's National Provider Identifier is 1003051343, issued on Dec 15, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Apr 23, 2013.