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LIGHTHOUSE FAMILY CHIROPRACTIC P.C. NPI 1407032840


NPI Information

NPI: 1407032840
Provider Name: LIGHTHOUSE FAMILY CHIROPRACTIC, P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4935 STEWART MILL RD
SUITE 101
DOUGLASVILLE, GA
ZIP 30135
Phone: (678) 838-4433
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LIGHTHOUSE FAMILY CHIROPRACTIC, P.C. is a chiropractor in Douglasville, 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. LIGHTHOUSE FAMILY CHIROPRACTIC, P.C. NPI is 1407032840. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4935 STEWART MILL RD
SUITE 101
DOUGLASVILLE, GA
ZIP 30135-733
Phone: (678) 838-4433
Fax: (678) 838-4093

The provider's authorized official is Kathryn E Lewis-padgett .
The authorized official title is President and has the following contact phone number (678) 838-4433.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/16/2008.


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
1111N00000XChiropractorCHIR006715GEORGIAYes

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
1P00106701MEDICARE UPINGEORGIA
235ZCHMVMEDICARE 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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