100 Percent Chiropractic Odom LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008457 Issued in GA

Legal business name

100 PERCENT CHIROPRACTIC ODOM LLC

Practice address

15 Thomas Grace Annex LN
450
Sharpsburg, GA 30277-3653

Phone

(912) 541-6366

NPI assigned

Feb 2, 2018

Last updated

Feb 2, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chris William Odom, DC

Title

Owner

Phone

(912) 541-6366

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1063911360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 THOMAS GRACE ANNEX LN",
            "address_2": "450",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773653",
            "telephone_number": "912-541-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 THOMAS GRACE ANNEX LN",
            "address_2": "450",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773653",
            "telephone_number": "912-541-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 PERCENT CHIROPRACTIC ODOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-541-6366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.