Family Wellness Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO008360 Issued in GA

Legal business name

FAMILY WELLNESS CHIROPRACTIC, LLC

Practice address

1066 Killian Hill Rd SW
Suite 103
Lilburn, GA 30047-2306

Phone

(770) 921-2830

Fax

(770) 921-2836

NPI assigned

Nov 25, 2009

Last updated

Nov 25, 2009By 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

Dr. Leyla Chenevey, D.C.

Title

Owner/Ceo

Phone

(770) 921-2830

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paige M Black, D.C.

  • Chiropractor
  • Lilburn, GA
  • NPI 1790017457
  NPD (past)

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1629306808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 KILLIAN HILL RD SW",
            "address_2": "SUITE 103",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472306",
            "telephone_number": "770-921-2830",
            "fax_number": "770-921-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 KILLIAN HILL RD SW",
            "address_2": "SUITE 103",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472306",
            "telephone_number": "770-921-2830",
            "fax_number": "770-921-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "CHENEVEY",
        "authorized_official_first_name": "LEYLA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-921-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO008360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.