Gwinnett Spine and Sports Rehab, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GWINNETT SPINE AND SPORTS REHAB, P.C.

Practice address

3131 Lawrenceville Suwanee Rd Ste C7
Suwanee, GA 30024-6549

Phone

(770) 500-2439

Fax

(470) 713-5369

NPI assigned

Jul 5, 2023

Organization subpart

No

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

Authorized official

Name

Woo Lim, DCNPI 1164153961

Title

President

Phone

(770) 500-2439

Specialties & licenses 1

Addresses

Other names 1

• Gwinnett Spine Posture Rehab Doing business as

Locations

Practitioners 1

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

• Woo Joon Lim, DC

  • Chiropractor
  • Suwanee, GA
  • NPI 1164153961
  NPD Authorized official

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1194403790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 LAWRENCEVILLE SUWANEE RD STE C7",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246549",
            "telephone_number": "770-500-2439",
            "fax_number": "470-713-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LAWRENCEVILLE SUWANEE RD STE C7",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246549",
            "telephone_number": "770-500-2439",
            "fax_number": "470-713-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT SPINE AND SPORTS REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "WOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-500-2439",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gwinnett Spine Posture Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.