Organization Active NPI

South Cherokee Chiropractic

  • Chiropractor
  • Marietta, GA
National Provider Identifier
1366697377
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002842 Issued in GA
Legal business name
SOUTH CHEROKEE CHIROPRACTIC
Practice address
4796 Canton Rd
Suite 400
Marietta, GA 30066-3250
Phone
(770) 926-9488
Fax
(770) 924-7480
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dr. Eileen D Keeton, D.C.
Title
Owner
Phone
(770) 926-9488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 002842 GA Primary

Addresses

Primary practice location

4796 Canton Rd
Suite 400
Marietta, GA 30066-3250

Mailing address

4796 Canton Rd
Suite 400
Marietta, GA 30066-3250
Phone (770) 926-9488

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1366697377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4796 CANTON RD",
            "address_2": "SUITE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663250",
            "telephone_number": "770-926-9488",
            "fax_number": "770-924-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4796 CANTON RD",
            "address_2": "SUITE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663250",
            "telephone_number": "770-926-9488",
            "fax_number": "770-924-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CHEROKEE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-926-9488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "002842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.