VIDA CHIROPRACTIC CENTER NPI 1528387214

NPI Information

NPI: 1528387214
Provider Name: VIDA CHIROPRACTIC CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
611 HOLCOMB BRIDGE RD STE A
ROSWELL, GA
ZIP 30076
Phone: (678) 451-8871
Get Directions

VIDA CHIROPRACTIC CENTER is a chiropractor in Roswell, 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. VIDA CHIROPRACTIC CENTER NPI is 1528387214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

611 HOLCOMB BRIDGE RD STE A
ROSWELL, GA
ZIP 30076-769
Phone: (678) 451-8871

The provider's authorized official is Mariela B Perosino .
The authorized official title is Office Manager/registered Agent and has the following contact phone number (678) 451-8871.

The enumeration date for this NPI number is 5/20/2010 and was last updated on 5/20/2010.

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
1	111N00000X	Chiropractor		CHIR007819	GEORGIA	Yes

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

NPI Synchronization or Removal

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