SOUTHEAST CHIROPRACTIC CLINIC LLC NPI 1467796581

NPI Information

NPI: 1467796581
Provider Name: SOUTHEAST CHIROPRACTIC CLINIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
308 JACKSON ST
VIDALIA, GA
ZIP 30474
Phone: (912) 585-7124
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SOUTHEAST CHIROPRACTIC CLINIC LLC is a chiropractor in Vidalia, 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. SOUTHEAST CHIROPRACTIC CLINIC LLC NPI is 1467796581. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

308 JACKSON ST
VIDALIA, GA
ZIP 30474-708
Phone: (912) 585-7124

The provider's authorized official is Heidi Zubeck .
The authorized official title is Manager and has the following contact phone number (912) 585-7124.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.

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
1	111N00000X	Chiropractor		CHIR008450	GEORGIA	Yes

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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