NPIMap

Organization Active NPI

Vitality Health and Wellness Center

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1093012346
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO08571 Issued in GA
Legal business name
VITALITY HEALTH AND WELLNESS CENTER
Practice address
2852 Delk Rd SE
Suite 201
Marietta, GA 30067-6371
Phone
(770) 875-7691
NPI assigned
Feb 23, 2011
Last updated
Feb 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Ms. Adebusola Cordova
Title
Owner
Phone
(770) 875-7691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO08571 GA Primary

Addresses

Primary practice location

2852 Delk Rd SE
Suite 201
Marietta, GA 30067-6371

Mailing address

2852 Delk Rd SE
Suite 201
Marietta, GA 30067-6371
Phone (770) 875-7691

National Provider Directory

National Provider Directory

Locations

2852 Delk Rd SE
Ste 201
Marietta, GA 30067
Phone (770) 875-7691

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1093012346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 DELK RD SE",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676371",
            "telephone_number": "770-875-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 DELK RD SE",
            "address_2": "SUITE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676371",
            "telephone_number": "770-875-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "ADEBUSOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-875-7691",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.