Organization · Type 2 NPI
Fayette Chiropractic Center, Inc
Chiropractor · Jonesboro, GA
NPI number
1114381175
Active
Practice location
7208 Tara Blvd
Jonesboro, GA 30236-1902
Fax (404) 875-7961
Mailing address
1905 Windham Park NE
Atlanta, GA 30324-4960
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2211 (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.
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About NPI 1114381175
Fayette Chiropractic Center, Inc's National Provider Identifier is 1114381175, issued on Apr 6, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jonesboro, GA. The record was last updated on Apr 6, 2016.