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SOUTH GEORGIA SPINE AND JOINT CENTER LLC NPI 1174835599


NPI Information

NPI: 1174835599
Provider Name: SOUTH GEORGIA SPINE AND JOINT CENTER, LLC

Doing Business As: SOUTH GEORGIA SPINE AND JOINT CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
26 3RD AVE NW
CAIRO, GA
ZIP 39828
Phone: (229) 377-1392
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SOUTH GEORGIA SPINE AND JOINT CENTER, LLC is a chiropractor in Cairo, 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. SOUTH GEORGIA SPINE AND JOINT CENTER, LLC NPI is 1174835599. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Georgia Spine And Joint Center.

The provider's business location address is:

26 3RD AVE NW
CAIRO, GA
ZIP 39828-000
Phone: (229) 377-1392
Fax: (229) 377-4448

The provider's authorized official is Michael R Waldrop .
The authorized official title is Owner/doctor and has the following contact phone number (229) 377-1392.

The enumeration date for this NPI number is 7/14/2010 and was last updated on 12/14/2010.


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
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16405060002MEDICARE NSCGEORGIA

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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