CROSSROADS CHIROPRACTIC NPI 1013280619

NPI Information

NPI: 1013280619
Provider Name: CROSSROADS CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5391 HIGHWAY 53
SUITE 108
BRASELTON, GA
ZIP 30517
Phone: (706) 654-2400
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CROSSROADS CHIROPRACTIC is a chiropractor in Braselton, 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. CROSSROADS CHIROPRACTIC NPI is 1013280619. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5391 HIGHWAY 53
SUITE 108
BRASELTON, GA
ZIP 30517-135
Phone: (706) 654-2400
Fax: (706) 654-2399

The provider's authorized official is Randy Lee Mcskulin .
The authorized official title is Owner/doctor and has the following contact phone number (706) 654-2400.

The enumeration date for this NPI number is 2/14/2012 and was last updated on 11/18/2016.

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
1	111N00000X	Chiropractor		2968	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

NPI Synchronization or Removal

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