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LEAVENGOOD CHIROPRACTIC PC NPI 1164617171


NPI Information

NPI: 1164617171
Provider Name: LEAVENGOOD CHIROPRACTIC, PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1238 S HOUSTON LAKE RD
STE 3
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 988-4663
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LEAVENGOOD CHIROPRACTIC, PC is a chiropractor in Warner Robins, 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. LEAVENGOOD CHIROPRACTIC, PC NPI is 1164617171. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1238 S HOUSTON LAKE RD
STE 3
WARNER ROBINS, GA
ZIP 31088-723
Phone: (478) 988-4663
Fax: (478) 988-4881

The provider's authorized official is Henry Lindelie Leavengood .
The authorized official title is Ceo and has the following contact phone number (478) 988-4663.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 9/12/2007.


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
1111N00000XChiropractor2823GEORGIAYes

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
1U29808MEDICARE UPINGEORGIA
21346304078OTHERGEORGIAINDIVIUAL NPI
300490421AMEDICAIDGEORGIA
435ZCHLFMEDICARE PINGEORGIA

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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