Back 2 Life Wellness Studios of Cartersville, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009196 Issued in GA

Legal business name

BACK 2 LIFE WELLNESS STUDIOS OF CARTERSVILLE, LLC

Practice address

807 West Ave
Suite G
Cartersville, GA 30120-8230

Phone

(678) 985-0444

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By 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. Andre Christopher Hines, D.C

Title

Ceo

Phone

(678) 985-0444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1649684499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WEST AVE",
            "address_2": "SUITE G",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208230",
            "telephone_number": "678-985-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 WEST AVE",
            "address_2": "SUITE G",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208230",
            "telephone_number": "678-985-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 LIFE WELLNESS STUDIOS OF CARTERSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-985-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avenir Ventures, L.L.C. (Amedisys Palliative Care)
• B&B Complete Wound and Wellness LLC
• B&M Medical Services LLC
• B&M Medical Services LLC
• B2L Chiro, LLC
• Omer Saleem Baig
• Brooke Bailey
• Charissa Faith Baker, N.P.
• Corinne E Baker, ATC/L
• Balanced Body Chiropractic & Rehabilitation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.