Organization Active NPI

Strong Faith Injury Center, LLC

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1659737708
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
BLICENSE002586122015 Issued in GA
Legal business name
STRONG FAITH INJURY CENTER, LLC
Practice address
1190 Buckhead Xing
Unit C
Woodstock, GA 30189-4253
Phone
(770) 966-2802
NPI assigned
Jan 5, 2016
Last updated
Jan 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Mr. James Ezell
Title
Owner
Phone
(770) 966-2802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X BLICENSE002586122015 GA Primary

Addresses

Primary practice location

1190 Buckhead Xing
Unit C
Woodstock, GA 30189-4253

Mailing address

1190 Buckhead Xing
Unit C
Woodstock, GA 30189-4253
Phone (770) 966-2802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1659737708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 BUCKHEAD XING",
            "address_2": "UNIT C",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894253",
            "telephone_number": "770-966-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 BUCKHEAD XING",
            "address_2": "UNIT C",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894253",
            "telephone_number": "770-966-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG FAITH INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-966-2802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "BLICENSE002586122015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.