Fortin Chiropractic & Athletic Health Care Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1411 Issued in GA

Legal business name

FORTIN CHIROPRACTIC & ATHLETIC HEALTH CARE CENTER

Practice address

1003 E Freeway Dr SE
Conyers, GA 30094-5927

Phone

(770) 760-0060

Fax

(770) 760-0409

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel P. Fortin, DC

Title

Ceo

Phone

(770) 760-0060

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1184730608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E FREEWAY DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945927",
            "telephone_number": "770-760-0060",
            "fax_number": "770-760-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E FREEWAY DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945927",
            "telephone_number": "770-760-0060",
            "fax_number": "770-760-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIN CHIROPRACTIC & ATHLETIC HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "FORTIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-760-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG7126",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foot and Ankle Institute of Georgia (The Foot and Ankle Institute of Georgia)
• Foot and Ankle Reconstruction Center of Georgia LLC
• Brittany Forbes
• Jennifer Krasevec Ford, RD
• Kasharel Forrest
• Daniel Patric Fortin, DC
• Antionette Foster
• Brittany Foster
• Lemere Foster
• Paige Bush Foster, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.