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THE GOOD DOCTOR LLC NPI 1407002058


NPI Information

NPI: 1407002058
Provider Name: THE GOOD DOCTOR, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5370 STONE MOUNTAIN HWY
STONE MOUNTAIN, GA
ZIP 30087
Phone: (770) 413-7771
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THE GOOD DOCTOR, LLC is a chiropractor in Stone Mountain, 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. THE GOOD DOCTOR, LLC NPI is 1407002058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5370 STONE MOUNTAIN HWY
STONE MOUNTAIN, GA
ZIP 30087-581
Phone: (770) 413-7771
Fax: (770) 413-7779

The provider's authorized official is Marina L. Harris .
The authorized official title is Chiropractor/owner and has the following contact phone number (770) 413-7771.

The enumeration date for this NPI number is 8/14/2008 and was last updated on 8/14/2008.


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
1111N00000XChiropractorCHIROO7597GEORGIAYes

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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