Tucker Neck and Back, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR0006452 Issued in GA

Legal business name

TUCKER NECK AND BACK, LLC

Practice address

4880 Lawrenceville Hwy
Suite 13
Tucker, GA 30084-2938

Phone

(770) 621-5585

Fax

(770) 414-7355

NPI assigned

Jun 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Tony L Banguilan, D.C.

Title

Ceo

Phone

(770) 621-5585

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eileen Flook, DC

  • Chiropractor
  • Tucker, GA
  • NPI 1740515659
  NPD (past)
• Shawn Thomas, D.C.

  • Chiropractor
  • Salem, SC
  • NPI 1619341062
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1134355779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 LAWRENCEVILLE HWY",
            "address_2": "SUITE 13",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842938",
            "telephone_number": "770-621-5585",
            "fax_number": "770-414-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 LAWRENCEVILLE HWY",
            "address_2": "SUITE 13",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842938",
            "telephone_number": "770-621-5585",
            "fax_number": "770-414-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER NECK AND BACK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "BANGUILAN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-621-5585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR0006452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tucker Family Practice, L.L.C.
• Tucker Health Care LLC
• Tucker Internal Medicine, LLC
• Tucker Investments & Associates LLC
• Tucker Medical Center P.C.
• Tucker Operating Company LLC
• Tucker Operating Group LLC
• Tucker Park Crossing of Journey LLC
• Tucker Pharmacy LLC
• Lauren Tucker

• Rehabilitation Chiropractor in Tucker, GA
• Providers in Tucker, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.