Organization · Type 2 NPI

Life University, Inc

Clinic/Center · Marietta, GA

NPI number 1700408887 Active

Practice location

1323 Roswell Road
Marietta, GA 30062

Call (770) 426-2946 Map

Mailing address

1415 Barclay Cir SE
Marietta, GA 30060-2943

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	None listed
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other clinic/center providers in Marietta

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NPI record

NPI: 1700408887
Entity type: Organization (Type 2)
Issued: May 12, 2020
Last updated: Apr 6, 2021
Status: Active
Subpart: Yes of Life University, Inc

Other names

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Life Chiropractic Centers- Roswell · doing business as

Authorized official

Dr. Tammy Aileen Cagle
Director of Clinic Business
(770) 426-2786

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700408887

Life University, Inc's National Provider Identifier is 1700408887, issued on May 12, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Marietta, GA. The record was last updated on Apr 6, 2021.