Mid Georgia Chiropractic
Organization Active NPI Chiropractor · Barnesville, GA
NPI 1700145240 · NPPES record last updated May 3, 2012
Key facts
- NPI
- 1700145240
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR002447 (GA)
- Legal business name
- MID GEORGIA CHIROPRACTIC
- Practice address
- 121 Atlanta St
Barnesville, GA 30204-1201 - Phone
- (770) 358-2003
- Fax
- (770) 358-1166
- NPI assigned
- May 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark B Fink, D.C.
- Title
- Presideny
- Phone
- (770) 358-2003
Practitioners 1
-
Mark Bradley Fink, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120521000312 | GA | Part B Supplier - Clinic/Group Practice | 2264695766 |
Receives reassigned benefits from 1 practitioner Practice locations: Barnesville, GA |
National Provider Directory
Locations
818 College Dr
Ste A
Barnesville, GA 30204
Phone (770) 358-2003
121 Atlanta St
Barnesville, GA 30204
Phone (770) 358-2003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CHIR002447 | GA | Yes |
Addresses
Primary practice location
121 Atlanta St
Barnesville, GA 30204-1201
Mailing address
121 Atlanta St
Barnesville, GA 30204-1201
Phone (770) 358-2003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35ZCCWN | Other | GA | 35ZCCWN PTAN |
Other providers in Barnesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.