Georgia Total Care, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

008487 Issued in GA

Legal business name

GEORGIA TOTAL CARE, LLC

Practice address

1000 Whitlock Ave NW
340
Marietta, GA 30064-5455

Phone

(561) 495-1212

Fax

(561) 495-1214

NPI assigned

Jan 30, 2014

Last updated

Jan 30, 2014By 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

Brian Mitteldorf, DC

Title

Owner

Phone

(561) 495-1212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1386067114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 W ATLANTIC AVE",
            "address_2": "B-21",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453897",
            "telephone_number": "561-495-1212",
            "fax_number": "561-495-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WHITLOCK AVE NW",
            "address_2": "340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645455",
            "telephone_number": "561-495-1212",
            "fax_number": "561-495-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA TOTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "MITTELDORF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-495-1212",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "008487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.