Back to Life Chiropractic, LLC
Organization Active NPI Chiropractor · Commerce, GA
NPI 1700312733 · NPPES record last updated Dec 19, 2019
Key facts
- NPI
- 1700312733
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR009368 (GA)
- Legal business name
- BACK TO LIFE CHIROPRACTIC, LLC
- Practice address
- 37 State St
Commerce, GA 30529-1920 - Phone
- (706) 944-3472
- NPI assigned
- May 11, 2017
- Organization subpart
- No
Authorized official
- Name
- Donn Mitchell Blencowe, D.C.
- Title
- Owner/Sole Proprietor
- Phone
- (770) 833-2860
National Provider Directory
Locations
37 State St
Commerce, GA 30529
Phone (706) 944-3472
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CHIR009368 | GA | Yes |
Addresses
Primary practice location
37 State St
Commerce, GA 30529-1920
Mailing address
37 State St
Commerce, GA 30529-1920
Phone (706) 944-3472
Other providers in Commerce, GA
- Associated Nephrology of Northeast Georgia LLC
- Athens Kidney Center, PC
- Athens Orthopedic Clinic, PA
- Athens Regional Physician Services
- Homaira Avendano
- Banks-Jackson-Commerce Hospital and Nursing Home Authority
- Bates Therapy & Wellness, LLC
- Chris Baumann
- Kulisha Y. Beasley
- Belmont Emergency Physicians, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.