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FORT VALLEY FAMILY CHIROPRACTIC LLC NPI 1447601471


NPI Information

NPI: 1447601471
Provider Name: FORT VALLEY FAMILY CHIROPRACTIC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 11D0664813

Address:
204 N CAMELLIA BLVD
FORT VALLEY, GA
ZIP 31030
Phone: (478) 302-6612
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FORT VALLEY FAMILY CHIROPRACTIC, LLC is a chiropractor in Fort Valley, 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. FORT VALLEY FAMILY CHIROPRACTIC, LLC NPI is 1447601471. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

204 N CAMELLIA BLVD
FORT VALLEY, GA
ZIP 31030-005
Phone: (478) 302-6612

The provider's authorized official is Nadia M Ramirez .
The authorized official title is Chiropractor and has the following contact phone number (478) 302-6612.

The CLIA number assigned to this NPI record is 11D0664813 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2016 and was last updated on 6/30/2016.


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
1111N00000XChiropractorCHIR009307GEORGIAYes

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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