Southeast Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008450 Issued in GA

Legal business name

SOUTHEAST CHIROPRACTIC CLINIC LLC

Practice address

308 Jackson St
Vidalia, GA 30474-4708

Phone

(912) 585-7124

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By 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

Heidi Zubeck

Title

Manager

Phone

(912) 585-7124

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1467796581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RESERVE CIR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584278",
            "telephone_number": "912-585-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 JACKSON ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744708",
            "telephone_number": "912-585-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "ZUBECK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-585-7124"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anju Sinha, M.D.
• Martha Smith, MD
• Ronnie R Smith, M. D.
• Shelley Tashina Smith, LPC
• South Georgia Pulmonary, Critical Care and Sleep Medicine
• Southeast Ga Primary Prevent
• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
• Southeast Regional Cardiac and Vascular Institute, LLC
• Southeast Regional Kidney and Hypertension Specialists, LL
• Southeast Regional Primary Care Corporation (Meadows Medical Group Urology)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.