Gwinnett Spinal & Rehab. Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006363 Issued in GA

Legal business name

GWINNETT SPINAL & REHAB. CENTER, P.C.

Practice address

55 W Crossville Rd
Roswell, GA 30075-2901

Phone

(770) 643-8638

Fax

(770) 817-5757

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Paul William Mattson, D.C

Title

Ceo

Phone

(770) 643-8638

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1710236385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W CROSSVILLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W CROSSVILLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752901",
            "telephone_number": "770-643-8638",
            "fax_number": "770-817-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT SPINAL & REHAB. CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-643-8638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Rae Guinn, M.M.ED, MT-BC
• Margaret G Gunter, LPC, NCC
• Vivek V. Gurudutt, MD
• Pamela Van Gutwein, PAC
• Jennifer Leonor Guzman Garcia, M.D.
• H&B Medical Services, P.a.
• Katharine Haase, OT
• Rebecca Habte
• Patrick Matthew Haley
• Aron Halfin, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.