Southcare Spinal Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR005882 Issued in GA

Legal business name

SOUTHCARE SPINAL REHAB

Practice address

6017 Western Hills Dr
Suite 105
Norcross, GA 30071-3483

Phone

(770) 409-0450

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael I Cohen, DC

Title

President Owner

Phone

(770) 409-0450

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467579144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 WESTERN HILLS DRIVE",
            "address_2": "SUITE 105",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713483",
            "telephone_number": "770-409-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6017 WESTERN HILLS DR",
            "address_2": "SUITE 105",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713483",
            "telephone_number": "770-409-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCARE SPINAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "770-409-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Norcross, GA
• Providers in Norcross, 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.