Envision a Chiropractic Healing, LLC
Organization Active NPI Health Service Clinic/Center · East Ellijay, GA
NPI 1104269877 · NPPES record last updated Apr 12, 2013
Key facts
- NPI
- 1104269877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- CHIR002792 (GA)
- Legal business name
- ENVISION A CHIROPRACTIC HEALING, LLC
- Practice address
- 572 Maddox Dr
Ste 205
East Ellijay, GA 30540-4000 - Phone
- (706) 697-7463
- NPI assigned
- Apr 12, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Debrah K Swanberg-Grossman, DC
- Title
- Owner/Director
- Phone
- (706) 697-7463
Practitioners 1
National Provider Directory
Locations
572 Maddox Dr
Ste 205
East Ellijay, GA 30540
Phone (706) 697-7463
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | CHIR002792 | GA | Yes |
Addresses
Primary practice location
572 Maddox Dr
Ste 205
East Ellijay, GA 30540-4000
Mailing address
572 Maddox Dr
Ste 205
East Ellijay, GA 30540-4000
Phone (706) 697-7463
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CHIR002792 | Other | GA | STATE LICENSE |
Other providers in East Ellijay, GA
- Paul Edward Deshane
- Digestive Healthcare of Ga, P.C.
- Jan Wood Dowda
- Ellijay Urgent Care & Family Practice LLC
- Islam G Eltarawy
- Linda Diane Everett
- Family Life Chiropractic Center, LLC
- Fannin Regional Hospital Inc
- Oscar R Febles
- Rodney Dale Fields
All providers in East Ellijay, 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 Apr 12, 2013. 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.