Organization · Type 2 NPI

The Good Doctor, LLC

Chiropractor · Stone Mountain, GA

NPI number 1407002058 Active

Practice location

5370 Stone Mountain Hwy
Stone Mountain, GA 30087-3581

Fax (770) 413-7779

Mailing address

PO Box 870903
Stone Mountain, GA 30087-0023

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIROO7597 (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 1407002058

The Good Doctor, LLC's National Provider Identifier is 1407002058, issued on Aug 14, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Aug 14, 2008.