Pine Mountain Chiropractic Center, LLC
Organization Active NPI Health Service Clinic/Center · Pine Mountain, GA
NPI 1023201217 · NPPES record last updated Aug 22, 2007
Key facts
- NPI
- 1023201217
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- 2301000RN (GA)
- Legal business name
- PINE MOUNTAIN CHIROPRACTIC CENTER, LLC
- Practice address
- 624 N Main Ave
Pine Mountain, GA 31822-2403 - Phone
- (706) 663-8801
- NPI assigned
- Aug 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Kim W. Russell, MANAGING MEMBER
- Title
- Office Manager
- Phone
- (706) 663-8801
Practitioners 1
National Provider Directory
Locations
624 N Main Ave
Pine Mountain, GA 31822
Phone (706) 663-8001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 2301000RN | GA | Yes |
Addresses
Primary practice location
624 N Main Ave
Pine Mountain, GA 31822-2403
Mailing address
624 N Main Ave
P.O. Box 1690
Pine Mountain, GA 31822-2403
Phone (706) 663-8801
Other providers in Pine Mountain, GA
- Heaven Sent Me an Angel, LLC
- JDF Corporation
- JDF Corporation
- John Christian Lowery
- Dustin Petry
- Pine Mountain Eye Care
- Pine Mountain Family Dentistry, LLC
- Pine Mountain Pharmacy, Inc
- Veta Rhonda Rodriguez
- Jeffery A. Russell
All providers in Pine Mountain, GA · Health Service Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.