Full Potential Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FULL POTENTIAL CHIROPRACTIC LLC

Practice address

2410 Hog Mountain Rd
301
Watkinsville, GA 30677-4811

Phone

(708) 267-4756

NPI assigned

Nov 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Chaz Ebert

Title

Owner

Phone

(708) 267-4756

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1588094411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PENFIELD WAY",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424821",
            "telephone_number": "708-267-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 HOG MOUNTAIN RD",
            "address_2": "301",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774811",
            "telephone_number": "708-267-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL POTENTIAL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "CHAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-267-4756",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Grace Foster, BCBA
• Laurie Fox
• John S Frantz, DMD
• Chandler Saxon Freeman
• Katherine Bell Fulcher, PA-C
• David C Gaines, MD
• Matthew Gallagher, OT
• Mary Alice Gallant, PA
• Daniel Bradford Gallo, PA-C
• Samantha Gamarra, FNP

• All providers in Watkinsville, GA
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.