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OPTIMUM PERFORMANCE CHIROPRACTIC & WELLNESS LLC. NPI 1114664976


NPI Information

NPI: 1114664976
Provider Name: OPTIMUM PERFORMANCE CHIROPRACTIC & WELLNESS LLC.

Doing Business As: LIVING PROOF CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1301 SHILOH RD NW STE 420
KENNESAW, GA
ZIP 30144
Phone: (703) 084-1084
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OPTIMUM PERFORMANCE CHIROPRACTIC & WELLNESS LLC. is a chiropractor in Kennesaw, 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. OPTIMUM PERFORMANCE CHIROPRACTIC & WELLNESS LLC. NPI is 1114664976. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Living Proof Chiropractic.

The provider's business location address is:

1301 SHILOH RD NW STE 420
KENNESAW, GA
ZIP 30144-152
Phone: (703) 084-1084

The provider's authorized official is James Ferrante .
The authorized official title is President And Ceo and has the following contact phone number (470) 308-4108.

The enumeration date for this NPI number is 5/13/2022 and was last updated on 7/21/2023.


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

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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