Living Life Well Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8614 Issued in GA

Legal business name

LIVING LIFE WELL CHIROPRACTIC, INC

Practice address

403 Shadrack St
Waynesboro, GA 30830-1540

Phone

(706) 437-1170

Fax

(706) 437-1163

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Mignon Sweat, D.C., M.S.

Title

Chiropractor

Phone

(706) 437-1170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1124445556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SHADRACK ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308301540",
            "telephone_number": "706-437-1170",
            "fax_number": "706-437-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SHADRACK ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308301540",
            "telephone_number": "706-437-1170",
            "fax_number": "706-437-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIFE WELL CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "SWEAT",
        "authorized_official_first_name": "MIGNON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "706-437-1170",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "8614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Waynesboro, GA
• Providers in Waynesboro, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.