Agu Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

05288 Issued in GA

Legal business name

AGU CHIROPRACTIC CLINIC PC

Practice address

47 Highway 138 SW
Suite B
Riverdale, GA 30274

Phone

(770) 472-5666

Fax

(770) 472-0156

NPI assigned

Mar 9, 2007

Last updated

Jul 20, 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

Cyril Ifeanyi Agu, DC

Title

President

Phone

(770) 472-5666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1659403368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 HIGHWAY 138 SW",
            "address_2": "SUITE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30274",
            "telephone_number": "770-472-5666",
            "fax_number": "770-472-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HIGHWAY 138 SW",
            "address_2": "SUITE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30274",
            "telephone_number": "770-472-5666",
            "fax_number": "770-472-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGU CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "AGU",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_middle_name": "IFEANYI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-472-5666",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "05288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Adult Care LLC (Sarah Adult Day Services)
• Affordable 1 Care,LLC, (Swab for Life Campaign)
• Joyce Afriyie, ADMINISTRATOR
• Agape Compassionate Touch
• Agape Life Prevention Center
• Stephen Agyemang-Koehler
• Sook Hee Ahn, MD
• Niketha Ajodha
• Benita E Akhtar
• Adedayo Akinrolabu

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.