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SUGARLOAF PAIN & REHAB NPI 1285015222


NPI Information

NPI: 1285015222
Provider Name: SUGARLOAF PAIN & REHAB
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 11D1080261

Address:
1325 SATELLITE BLVD NW STE 601
SUWANEE, GA
ZIP 30024
Phone: (770) 817-3399
Get Directions

SUGARLOAF PAIN & REHAB is a chiropractor in Suwanee, 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. SUGARLOAF PAIN & REHAB NPI is 1285015222. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1325 SATELLITE BLVD NW STE 601
SUWANEE, GA
ZIP 30024-709
Phone: (770) 817-3399
Fax: (770) 817-2555

The provider's authorized official is Seong H Hwang .
The authorized official title is Owner and has the following contact phone number (770) 817-3399.

The CLIA number assigned to this NPI record is 11D1080261 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2015 and was last updated on 6/16/2015.


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
1111N00000XChiropractor007272GEORGIANo
2111N00000XChiropractor007290GEORGIAYes

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
11528346665OTHERNPI DR 1528346665
21194024653OTHERGEORGIANPI DR 1194024653

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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