Organization Active NPI

Atlas Clinic LLC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1467725549
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8591 Issued in GA
Legal business name
ATLAS CLINIC LLC
Practice address
3288 Chamblee Tucker Rd
Atlanta, GA 30341
Phone
(770) 457-4430
Fax
(770) 454-8328
NPI assigned
Feb 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Chuel-Hong Park, D.C. B.C. A.O
Title
DC/Owner
Phone
(770) 545-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8591 GA Primary

Addresses

Primary practice location

3288 Chamblee Tucker Rd
Atlanta, GA 30341

Mailing address

2810 Peachtree Industrial Blvd
Ste# E
Duluth, GA 30097-8176
Phone (770) 545-8150

National Provider Directory

National Provider Directory

Locations

2810 Peachtree Industrial Blvd
Ste E
Duluth, GA 30097
Phone (770) 545-8150

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1467725549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE# E",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978176",
            "telephone_number": "770-545-8150",
            "fax_number": "770-545-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 CHAMBLEE TUCKER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "770-457-4430",
            "fax_number": "770-454-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHUEL-HONG",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "770-545-8150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C. B.C. A.O"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "8591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.