Deshaw Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008476 Issued in GA

Legal business name

DESHAW FAMILY CHIROPRACTIC LLC

Practice address

664 Scranton Rd
Suite 222
Brunswick, GA 31520-1945

Phone

(912) 264-2244

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brent Deshaw, D.C.

Title

Doctor

Phone

(912) 264-2244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1265746051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 SCRANTON RD",
            "address_2": "SUITE 222",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 SCRANTON RD",
            "address_2": "SUITE 222",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201945",
            "telephone_number": "912-264-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESHAW FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "DESHAW",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "912-264-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nancy A Denlea, M.D.
• Lashonda Denson
• Sandra E Deschaine, CRNA
• Brent J Deshaw, D.C.
• David Scott Deuser, M.D.
• Brittany Dewese, LPN
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• Diana L. Walther, PH.D. PC

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

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