Active NPI
Chiro Smyrna
- Chiropractor
- Smyrna, GA
National Provider Identifier
1376737163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO07183
- Legal business name
- CHIRO SMYRNA
- Practice address
- 1105 Concord Rd SE
Smyrna, GA 30080-4207 - Phone
- (770) 850-0857
- Fax
- (770) 988-8425
- NPI assigned
- Sep 5, 2007
- Last updated
- Sep 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keysa Murrell
- Title
- HR Director
- Phone
- (770) 850-0857
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO07183 | GA | Primary |
Addresses
Primary practice location
1105 Concord Rd SE
Smyrna, GA 30080-4207
Mailing address
PO Box 672544
Marietta, GA 30006-0043
Phone (770) 850-0857
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188950400000",
"number": "1376737163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 672544",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300060043",
"telephone_number": "770-850-0857",
"fax_number": "770-988-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 CONCORD RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300804207",
"telephone_number": "770-850-0857",
"fax_number": "770-988-8425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRO SMYRNA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-05",
"last_updated": "2007-09-05",
"status": "A",
"authorized_official_last_name": "MURRELL",
"authorized_official_first_name": "KEYSA",
"authorized_official_title_or_position": "HR DIRECTOR",
"authorized_official_telephone_number": "770-850-0857"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO07183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.