MINOR CHIROPRACTIC WORKS LLC NPI 1962125161

NPI Information

NPI: 1962125161
Provider Name: MINOR CHIROPRACTIC WORKS LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1050 SHILOH RD NW STE 303
KENNESAW, GA
ZIP 30144
Phone: (770) 370-7588
Get Directions

MINOR CHIROPRACTIC WORKS LLC is a chiropractor in Kennesaw, 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. MINOR CHIROPRACTIC WORKS LLC NPI is 1962125161. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 SHILOH RD NW STE 303
KENNESAW, GA
ZIP 30144-197
Phone: (770) 370-7588

The provider's authorized official is Porshe Tiara Minor .
The authorized official title is Co Owner and has the following contact phone number (901) 603-2623.

The enumeration date for this NPI number is 9/22/2022 and was last updated on 9/22/2022.

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				Yes

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
1	1700532884	MEDICAID	GEORGIA

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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