Back 2 Life Wellness Studios

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009196 Issued in GA

Legal business name

BACK 2 LIFE WELLNESS STUDIOS

Practice address

1670 McKendree Church Rd
B400
Lawrenceville, GA 30043-4107

Phone

(678) 985-0444

NPI assigned

Oct 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Andre Christopher Hines, D.C

Title

Ceo

Phone

(562) 686-7907

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kamlesh Ramji Patel, D.C.

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1538430202
  NPD

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1235566118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 MCKENDREE CHURCH RD",
            "address_2": "B400",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434107",
            "telephone_number": "678-985-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 MCKENDREE CHURCH RD",
            "address_2": "B400",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434107",
            "telephone_number": "678-985-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 LIFE WELLNESS STUDIOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-686-7907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fareeda Babalakin, MD
• Maham Babar, MBBS
• Jamiu O Babatunde, RBT
• Tehzeeb Babwani
• Lara Bachour, DMD, MDS
• Erik Badel
• Daniel Joseph Badia, DO
• Michele Lea Bagby
• Eric J Baggett, R.PH.
• Heidi Baggett, M.S.,CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.