Neck & Back Pain Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007167 Issued in GA

Legal business name

NECK & BACK PAIN CHIROPRACTIC

Practice address

1296 Hwy 138
Ste 105
Riverdale, GA 30296

Phone

(678) 954-7224

Fax

(678) 954-7226

NPI assigned

Jul 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Malcolm D. Hill, D.C.NPI 1033214184

Title

Chiropractor

Phone

(678) 954-7224

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malcolm Hill, D.C.

  • Chiropractor
  • Riverdale, GA
  • NPI 1033214184
  NPD (past) Authorized official

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1699930040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 HWY 138",
            "address_2": "STE 105",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30296",
            "telephone_number": "678-954-7224",
            "fax_number": "678-954-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 HWY 138",
            "address_2": "STE 105",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "30296",
            "telephone_number": "678-954-7224",
            "fax_number": "678-954-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECK & BACK PAIN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "678-954-7224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "352CGTP",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 25, 2008; 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.