Ba Reun Health Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR007095 Issued in GA

Legal business name

BA REUN HEALTH CENTER LLC

Practice address

3230 Steve Reynolds Blvd
#208
Duluth, GA 30096-8839

Phone

(770) 418-1110

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Shin

Title

Doctor/Owner

Phone

(770) 418-1110

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.

• Kikwang Nam, D.C.

  • Chiropractor
  • Johns Creek, GA
  • NPI 1538548730
  NPD (past)

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1700022555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 STEVE REYNOLDS BLVD",
            "address_2": "#208",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968839",
            "telephone_number": "770-418-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 STEVE REYNOLDS BLVD",
            "address_2": "#208",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968839",
            "telephone_number": "770-418-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BA REUN HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "770-418-1110",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clement O Ayanbadejo
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• Eunjoo Bae, DDS
• Kyungtaek Baek, DMD
• Min Joo Baek, NP
• Rita G. Baens-Bailon, MD
• Caroline Bai, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.