Providence Healthcare in Atlanta - Chiropractor
Providence Healthcare - NPI 1699895961
Providence Healthcare is a Chiropractor in Atlanta, Georgia. Providence Healthcare practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Providence Healthcare is 1699895961. The last update date is 2022-07-21.
Providence Healthcare's current location address is 4646 N Shallowford Rd, Atlanta, Georgia. You can contact this provider via phone number 7706766000 and fax number 7703929805. The mailing address for Providence Healthcare is 4646 N Shallowford Rd, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Healthcare |
|---|---|
| Address | 4646 N Shallowford Rd, Atlanta, Georgia |
| Phone Number | 7706766000 |
| Fax Number | 7703929805 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Leach Mary |
| Telephone Number | 7706766000 |
NPI Number Detail
| NPI Number | 1699895961 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4646 N Shallowford Rd |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303386304 |
| Phone Number | 7706766000 |
| Fax Number | 7703929805 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIR005530 |
|
Definition: 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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50014615 | GA | TAT | |
| 826713 | GA | BLUECROSS BLUE SHIELD | |
| D44849 | GA | UPIN |
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What is the unique 10-digit identifier code assigned to Providence Healthcare by the Centers for Medicare & Medicaid Services?
The Providence Healthcare has been issued the NPI (National Provider Identifier) 1699895961 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Providence Healthcare is physically located?
The Providence Healthcare is situated at the following address: 4646 N Shallowford Rd, Atlanta, GA 303386304.
What is Providence Healthcare's area of expertise and its corresponding taxonomy classification?
The Providence Healthcare's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1699895961 to Providence Healthcare?
The Centers for Medicare & Medicaid Services assigned the 1699895961 to Providence Healthcare on 2007-03-30.
As of what date were the Providence Healthcare's details last updated?
The information pertaining to the Providence Healthcare, including its address, specialty, and other details, was most recently updated on 2022-07-21.
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