Back to Genesis Chiropractic, PC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR008150 Issued in GA

Legal business name

BACK TO GENESIS CHIROPRACTIC, PC

Practice address

3812 Austell Rd SW
Marietta, GA 30008-5863

Phone

(678) 905-0799

NPI assigned

Jul 23, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Leslie Olson

Title

Advisor

Phone

(678) 905-0799

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1306159900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 AUSTELL RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300085863",
            "telephone_number": "678-458-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 AUSTELL RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300085863",
            "telephone_number": "678-905-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO GENESIS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "ADVISOR",
        "authorized_official_telephone_number": "678-905-0799",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR008150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeola Abidemi Babarinde
• Clare Marie Babino
• Joanna Magdalena Babinska, LAPC
• Azarakhsh Babolian, M.D.
• Kyle Carter Bachmeier, PA-C
• Robert Thomas Bacon, D.C.
• Tiffany Baggett
• Shahrokh C Bagheri, M.D. D.M.D.
• Rachel Diane Bagley, NP
• Bailey Bagwell, BCBA

• Rehabilitation Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.