Gardner Wellness Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1125 Issued in GA

Legal business name

GARDNER WELLNESS CENTER INC

Practice address

4306A N Peachtree Rd
Chamblee, GA 30341-1210

Phone

(770) 455-8800

Fax

(770) 457-9050

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Albury Gardner

Title

Ceo

Phone

(770) 455-8800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1205194644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306A N PEACHTREE RD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303411210",
            "telephone_number": "770-455-8800",
            "fax_number": "770-457-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306A N PEACHTREE RD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303411210",
            "telephone_number": "770-455-8800",
            "fax_number": "770-457-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ALBURY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-455-8800"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlon David Anthony Foote, DDS
• Ashley Ford, M.S. CCC-SLP
• Esther W. Fortingo
• Cheng Gao, DMD
• Luis A Garcia-Lugo, DC
• Gianna Lynn Marie Geller
• Elizabeth Anne Genge, LCSW
• Georgia CVS Pharmacy LLC
• Georgia Injury Center of Chamblee LLC
• Georgia Lions Lighthouse Foundation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.