Teal Health Clinic. Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR001617 Issued in GA

Legal business name

TEAL HEALTH CLINIC. INC.

Practice address

431 W Memorial Dr
Dallas, GA 30132-4114

Phone

(770) 445-5779

Fax

(770) 445-5779

NPI assigned

Mar 1, 2010

Last updated

Mar 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cleaveland Joe Teal, D.C.

Title

President

Phone

(770) 445-1190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1215250592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 CARTERSVILLE HWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301321394",
            "telephone_number": "770-445-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W MEMORIAL DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324114",
            "telephone_number": "770-445-5779",
            "fax_number": "770-445-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAL HEALTH CLINIC. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "TEAL",
        "authorized_official_first_name": "CLEAVELAND",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-445-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR001617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexus Taylor, BCBA
• Jennifer Janelle Taylor, D.C.
• Meagan Taylor
• Natasha Kimberly Taylor
• Robert Taylor, RPH
• Team Chiropractic P.C.
• Frank A Terracina Jr., DMD
• Cailee Terry
• Crystal Howard Terry, RBT
• The Conscious Spot LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.