East Metro Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

002911 Issued in GA

Legal business name

EAST METRO WELLNESS CENTER, LLC

Practice address

1289 Parker Rd SE
Conyers, GA 30094-5957

Phone

(770) 922-7282

Fax

(770) 922-7843

NPI assigned

Jan 2, 2007

Last updated

Aug 22, 2020By 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. Cornelius Stephens, D.C.

Title

President

Phone

(770) 922-7282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346307048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83363",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300139444",
            "telephone_number": "770-922-7282",
            "fax_number": "770-922-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 PARKER RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945957",
            "telephone_number": "770-922-7282",
            "fax_number": "770-922-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST METRO WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-922-7282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "002911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.