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GIDEON CHIROPRACTIC INCORPORATED NPI 1639371917


NPI Information

NPI: 1639371917
Provider Name: GIDEON CHIROPRACTIC INCORPORATED

Other Name: ATLAS INJURY CHIROPRACTIC CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
165 BURKE ST
SUITE 105
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 389-4724
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GIDEON CHIROPRACTIC INCORPORATED is a chiropractor in Stockbridge, 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. GIDEON CHIROPRACTIC INCORPORATED NPI is 1639371917. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Atlas Injury Chiropractic Center.

The provider's business location address is:

165 BURKE ST
SUITE 105
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 389-4724
Fax: (678) 272-4031

The provider's authorized official is Durie Delano Humber .
The authorized official title is Owner and has the following contact phone number (770) 389-4724.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 10/12/2007.


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
1111N00000XChiropractorCHIR005325GEORGIAYes

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
1664098OTHERGEORGIAUHC
2U63199MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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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