Peach State Specific Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008490 Issued in GA

Legal business name

PEACH STATE SPECIFIC CHIROPRACTIC LLC

Practice address

2715 Buford Hwy
Suite 700
Duluth, GA 30096-2811

Phone

(770) 814-9140

Fax

(770) 814-9141

NPI assigned

Mar 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Christopraher James Enright, D.C

Title

President

Phone

(404) 324-8976

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1295033850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 BUFORD HWY",
            "address_2": "SUITE 700",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300962811",
            "telephone_number": "770-814-9140",
            "fax_number": "770-814-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 BUFORD HWY",
            "address_2": "SUITE 700",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300962811",
            "telephone_number": "770-814-9140",
            "fax_number": "770-814-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH STATE SPECIFIC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "ENRIGHT",
        "authorized_official_first_name": "CHRISTOPRAHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-324-8976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.