Full Body Rejuvenetion Center, Llc in Lithonia - Chiropractor
Full Body Rejuvenetion Center, Llc - NPI 1790945475
Full Body Rejuvenetion Center, Llc is a Chiropractor in Lithonia, Georgia. Full Body Rejuvenetion Center, Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Full Body Rejuvenetion Center, Llc is 1790945475. The last update date is 2008-07-15.
Full Body Rejuvenetion Center, Llc's current location address is 3636 Panola Rd, Lithonia, Georgia. You can contact this provider via phone number 6786091586. The mailing address for Full Body Rejuvenetion Center, Llc is 3636 Panola Rd, Lithonia, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Full Body Rejuvenetion Center, Llc |
|---|---|
| Address | 3636 Panola Rd, Lithonia, Georgia |
| Phone Number | 6786091586 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIROPRACT |
|---|---|
| Authorized Official Name | Smith Nailah |
| Credentials | D.C. |
| Telephone Number | 6786134650 |
NPI Number Detail
| NPI Number | 1790945475 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2008-07-15 |
Provider Mailing Address Detail
| Address | 3636 Panola Rd |
|---|---|
| City | Lithonia |
| State | Georgia (GA) |
| Post Code | 300382733 |
| Phone Number | 6786091586 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIR007963 |
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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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What is the Full Body Rejuvenetion Center, Llc's 1790945475?
The Full Body Rejuvenetion Center, Llc's NPI (National Provider Identifier) Number is 1790945475. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Full Body Rejuvenetion Center, Llc is located?
The Full Body Rejuvenetion Center, Llc is situated at the following address: 3636 Panola Rd, Lithonia, GA, 300382733.
What is the area of specialization for Full Body Rejuvenetion Center, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Full Body Rejuvenetion Center, Llc is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Full Body Rejuvenetion Center, Llc receive the assignment of its 1790945475 from the Centers for Medicare & Medicaid Services?
The Full Body Rejuvenetion Center, Llc was issued its 1790945475 by the Centers for Medicare & Medicaid Services on 2008-06-16.
When was the information regarding Full Body Rejuvenetion Center, Llc most recently updated?
The details pertaining to the Full Body Rejuvenetion Center, Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-07-15.